Organization Active NPI

William L Weiss, MD, PC

  • Nephrology Physician
  • Phoenix, AZ
National Provider Identifier
1922138643
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
31284 Issued in AZ
Legal business name
WILLIAM L WEISS, MD, PC
Practice address
9305 W Thomas Rd
Suite 570
Phoenix, AZ 85037-3328
Phone
(623) 537-5100
Fax
(623) 537-5200
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
William Weiss, M.D.NPI 1881686368
Title
President
Phone
(623) 537-5200

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 31284 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd
Suite 570
Phoenix, AZ 85037-3328

Mailing address

PO Box 6011
Goodyear, AZ 85338-0617
Phone (623) 537-5100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040823000918 AZ Part B Supplier - Clinic/Group Practice 5991779274 Receives reassigned benefits from 4 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

9305 W Thomas Rd
Ste 570
Phoenix, AZ 85037
Phone (623) 537-5100

9321 W Thomas Rd
Ste 400
Phoenix, AZ 85037
Phone (623) 537-5100

Practitioners & affiliated clinicians

Practitioners 4

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1922138643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6011",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853380617",
            "telephone_number": "623-537-5100",
            "fax_number": "623-537-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "SUITE 570",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-537-5100",
            "fax_number": "623-537-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L WEISS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-537-5200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "31284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.