Active NPI
Carl B Weiss MD PC
- Orthopaedic Surgery Physician
- Mechanicsville, VA
National Provider Identifier
1831483635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101242939
- Legal business name
- CARL B WEISS MD PC
- Practice address
- 8220 Meadowbridge Rd
Suite 303
Mechanicsville, VA 23116-2336 - Phone
- (901) 568-7240
- Fax
- (804) 266-3530
- NPI assigned
- Jun 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carl B Weiss, M.D.
- Title
- President
- Phone
- (804) 789-8600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0101242939 | VA | Primary |
Addresses
Primary practice location
8220 Meadowbridge Rd
Suite 303
Mechanicsville, VA 23116-2336
Mailing address
5711 Chamberlayne Rd
Richmond, VA 23227-2415
Phone (804) 262-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VV20929952 | Other | VA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110623000414 | VA | Part B Supplier - Clinic/Group Practice | 2860670742 |
Receives reassigned benefits from 1 practitioner Practice locations: Henrico, VA; Mechanicsville, VA |
National Provider Directory
National Provider DirectoryLocations
8405 N Run Medical Dr
Mechanicsville, VA 23116
Phone (804) 330-0303
7016 Lee Park Rd
Mechanicsvlle, VA 23111
Phone (804) 254-5363
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75081
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313625600000",
"number": "1831483635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5711 CHAMBERLAYNE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232272415",
"telephone_number": "804-262-6900",
"fax_number": "804-266-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 MEADOWBRIDGE RD",
"address_2": "SUITE 303",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162336",
"telephone_number": "901-568-7240",
"fax_number": "804-266-3530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARL B WEISS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-09",
"last_updated": "2011-08-18",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-789-8600",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101242939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "VV20929952",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.