Active NPI
Allan Weissman, MD
- Family Medicine Physician
- Port Orchard, WA
National Provider Identifier
1992733810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00012489
- Practice address
- 1950 Pottery Ave Ste 20
Port Orchard, WA 98366-2590 - Phone
- (360) 876-9158
- Fax
- (360) 876-9220
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| 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) 876-9158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1038579 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allan N. Weissman, M.D. | Family Medicine | 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.
-
- Family Medicine Physician
- Port Orchard, WA
- NPI 1851573018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1992733810",
"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": "360-876-9158",
"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": "360-876-9158",
"fax_number": "360-876-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSMAN",
"first_name": "ALLAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2008-04-30",
"status": "A"
},
"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 Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.