Active NPI
Michael Mark Weiss, D.C.
- Rehabilitation Chiropractor
- Hollywood, FL
National Provider Identifier
1962623124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH3523
- Practice address
- 450 N Park Rd
Suite 200
Hollywood, FL 33021-6917 - Phone
- (954) 986-4559
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH3523 | FL | Primary |
Addresses
Primary practice location
450 N Park Rd
Suite 200
Hollywood, FL 33021-6917
Mailing address
450 N Park Rd
Suite 200
Hollywood, FL 33021-6917
Phone (954) 986-4559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88565 | Other | FL | BLUE CROSS BLUE SHIELD FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH3523 | FL | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gady Abramson DC PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Independent Medical Examiner Chiropractor
- Hollywood, FL
- NPI 1215267943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1962623124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 N PARK RD",
"address_2": "SUITE 200",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216917",
"telephone_number": "954-986-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N PARK RD",
"address_2": "SUITE 200",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216917",
"telephone_number": "954-986-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "MICHAEL",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH3523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FL",
"identifier": "88565",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.