Organization Active NPI

Carl B Weiss MD PC

  • Orthopaedic Surgery Physician
  • Mechanicsville, VA
National Provider Identifier
1831483635
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101242939 Issued in VA
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

Updated by the provider on Aug 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carl B Weiss, M.D.NPI 1184627820
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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
VV20929952OtherVAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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

  • FHIR API: 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.

Verify at the official NPI Registry.