Organization Active NPI

Allan N. Weissman, M.D.

  • Family Medicine Physician
  • Port Orchard, WA
National Provider Identifier
1851573018
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00012489 Issued in WA
Legal business name
ALLAN N. WEISSMAN, M.D.
Practice address
1950 Pottery Ave Ste 20
Port Orchard, WA 98366-2590
Phone
(360) 846-9158
Fax
(360) 876-9220
NPI assigned
Nov 29, 2007
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Mrs. Carol Anne Dudley
Title
Office Manager
Phone
(360) 876-9158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00012489 WA Primary

Addresses

Primary practice location

1950 Pottery Ave Ste 20
Port Orchard, WA 98366-2590

Mailing address

1950 Pottery Ave Ste 20
Port Orchard, WA 98366-2590
Phone (360) 846-9158

Other identifiers 1

IdentifierTypeStateIssuer
1038579MedicaidWA

National Provider Directory

National Provider Directory

Locations

1950 Pottery Ave
Ste 20
Port Orchard, WA 98366
Phone (360) 846-9158

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1851573018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 POTTERY AVE STE 20",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662590",
            "telephone_number": "360-846-9158",
            "fax_number": "360-876-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 POTTERY AVE STE 20",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662590",
            "telephone_number": "360-846-9158",
            "fax_number": "360-876-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN N. WEISSMAN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-876-9158",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00012489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038579",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.