MRS. KIMBERLY SUE WEISS (NPI# 1376789859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376789859 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY SUE WEISS |
| Credential | PA |
| Practice Address |
6355 Ten Oaks Rd Suite 202 Clarksville MD 21029-1185 |
| Practice Telephone | 4105311440 |
| Practice Fax Number | 4105311412 |
| Mailing Telephone | 4105311440 |
| Mailing Fax Number | 4105311412 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0001240 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619470838 | Kimberly A Weiss | Nurse Practitioner | 2532 Fortesque Ave, Oceanside, NY 11572-2410 | 2018-03-14 |
| 1093826703 | Kimberly S Weiss | Dentist | 760 Us Highway 206, Ste 2, Hillsborough, NJ 08844-1506 | 2006-08-31 |
| 1194198648 | Kimberly Elizabeth Weiss | Music Therapist | 1031 N Edge Trl, Verona, WI 53593-1942 | 2015-11-05 |
| 1811240195 | Kimberly Lynn Weiss | Dietitian, Registered | 8402 Harcourt Rd, Indianapolis, IN 46260-2074 | 2012-10-24 |
| 1841589801 | Kimberly Michele Weiss | Licensed Vocational Nurse | 1077 Civic Center Blvd, Yuba City, CA 95993-3002 | 2011-03-30 |
| 1336344274 | Kimberly G Weiss | Nurse Practitioner | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2007-06-20 |
| 1154393627 | Kimberly Weiss | Physical Therapist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-02-07 |
| Street Address |
6355 TEN OAKS RD SUITE 202 |
| City | CLARKSVILLE |
| State | MD |
| Zip Code | 21029-1185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558440958 | Varsha Udayan Shah | Dentist | 6355 Ten Oaks Rd, Suite 201, Clarksville, MD 21029-1184 | 2006-11-04 |
| 1437528551 | Lifebridge Community Physicians, Inc | Family Medicine | 6355 Ten Oaks Rd, Suite 202, Clarksville, MD 21029-1185 | 2015-09-18 |
| 1912304346 | Clarksville Crossing Dental, LLC | Dentist | 6355 Ten Oaks Rd, 201, Clarksville, MD 21029-1185 | 2014-12-01 |
| 1306198213 | Lea Lazar, M.d., P.C. | Family Medicine | 6355 Ten Oaks Rd, Suite 202, Clarksville, MD 21029-1185 | 2012-10-03 |
| 1578609335 | Lea Lazar | Family Medicine | 6355 Ten Oaks Rd, Suite 202, Clarksville, MD 21029-1184 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710436407 | Central Maryland Oral and Facial Surgical Arts of Clarksville, LLC | Dentist | 12431 Clarksville Pike, Route 108, Clarksville, MD 21029 | 2016-09-23 |
| 1740647262 | Darren Joseph | Physical Therapist | 6151 Daylong Lane, Clarksville, MD 21029 | 2016-01-28 |
| 1619302437 | Ashley Kneale | Physical Therapist | 6408 Silent Moon Run, Clarksville, MD 21029 | 2013-09-11 |
| 1780949693 | Jane Choi Council | Optometrist | 12345 Wake Forest Rd Ste E, Clarksville, MD 21029 | 2012-07-06 |
| 1598035248 | Jeffrey Stuart Abrams | Internal Medicine | 5073ten Oaks Rd, Clarksville, MD 21029 | 2012-01-11 |
| 1902102528 | Claudia Joe Salter | Psychologist | 6100 Daylong Ln Ste 103, Clarksville, MD 21029 | 2011-01-28 |
| 1285892430 | Mary Carol Wayda | Social Worker | 5905 Tall Branches Pass, Clarksville, MD 21029 | 2008-05-23 |
| 1407978422 | Basil Saiedy Dds LLC | Dentist | 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 | 2007-04-03 |
| 1629329214 | Dina Michele Singer | Acupuncturist | 12451 Clarksville Pike, Clarksville, MD 21029 | 2012-09-24 |
| 1689796609 | Basil Saiedy | Dentist | 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 | 2007-04-03 |
| Find all providers in zip 21029 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033693320 | Marla Michelle Davis | Physician Assistant | 12272 Clarksville Pike Ste A, Clarksville, MD 21029-1229 | 2018-09-21 |
| 1326077041 | Red River Emergency Medicine Associates Pa | Physician Assistant | 3000 Hwy 82 W, Clarksville, TX 75426 | 2006-07-03 |
| 1922074459 | Gweneth Ferdinand-jacob | Physician Assistant | 763 Mcclain Dr, Clarksville, TN 37040 | 2006-02-24 |
| 1295379568 | Zachary Pollock | Physician Assistant | 2690 Madison St Ste 130, Clarksville, TN 37043-6185 | 2019-10-30 |
| 1902465669 | Stephanie Lee Byard | Physician Assistant | 1000 Highway 76, Clarksville, TN 37043-8405 | 2019-06-06 |
| 1780155267 | Lindsey Davenport | Physician Assistant | 251 Hillcrest Dr, Clarksville, TN 37043-5086 | 2018-12-10 |
| 1730698671 | Mackenzie Zak Rickert | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2017-09-22 |
| 1588895635 | Anita Kline Taylor | Physician Assistant | 1000 Highway 76, Clarksville, TN 37043-8405 | 2009-08-06 |
| 1831373810 | Kristen R Dortch-farmer | Physician Assistant | 198 Old Farmers Rd, Clarksville, TN 37043-4032 | 2007-12-26 |
| 1548346166 | Jacqueline R Marco | Physician Assistant | 2320 Wilma Rudolph Blvd, Clarksville, TN 37040-5821 | 2006-10-27 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 21029 |
Please comment or provide details below to improve the information on MRS. KIMBERLY SUE WEISS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.