DR. JERROLD M WEISS (NPI# 1588740690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588740690 |
| Entity Type | Individual |
| Full Name | DR. JERROLD M WEISS |
| Credential | MD |
| Practice Address |
3955 Patient Care Way Suite A Lansing MI 48911-4299 |
| Practice Telephone | 5173747600 |
| Practice Fax Number | 5173749042 |
| Mailing Telephone | 5173747600 |
| Mailing Fax Number | 5173749042 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
4301033414 | MI | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
4301033414 | MI | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301033414 | MI | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
4301033414 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4660 S Hagadorn Road Ste 600, East Lansing, MI 488234299 | 5173530129 | 5174322849 |
| Street Address |
3955 PATIENT CARE WAY SUITE A |
| City | LANSING |
| State | MI |
| Zip Code | 48911-4299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308843 | Charles B Dehlin | Internal Medicine | 3955 Patient Care Way, Ste A, Lansing, MI 48911 | 2005-07-07 |
| 1366885600 | Kip L Kaercher Do Pllc | Family Medicine | 3955 Patient Care Way, Suite B, Lansing, MI 48911-4299 | 2013-04-16 |
| 1477716579 | Hitesh Mahadev Bhatt | Internal Medicine | 3955 Patient Care Way, Suite A, Lansing, MI 48911-4299 | 2008-07-08 |
| 1912128539 | Justin Sasky Kisaka | Internal Medicine | 3955 Patient Care Way, Suite A, Lansing, MI 48911-4299 | 2007-05-01 |
| 1093863748 | Mary Louise Dowding-harris | Physician Assistant | 3955 Patient Care Way, Suite B, Lansing, MI 48911-4299 | 2007-01-08 |
| 1821182023 | Ingrid M Stines | Podiatrist | 3955 Patient Care Way, Suite A, Lansing, MI 48911-4299 | 2006-10-03 |
| 1134236268 | Anthony Jon Meier | Internal Medicine | 3955 Patient Care Way, Lansing, MI 48911-4299 | 2006-08-24 |
| 1780629832 | Capital Internal Medicine Associates P.C. | Family Medicine | 3955 Patient Care Way, Suite A, Lansing, MI 48911-4299 | 2006-06-20 |
| 1528036035 | Kip L Kaercher | Family Medicine | 3955 Patient Care Way, Suite B, Lansing, MI 48911-4299 | 2006-03-09 |
| 1427022037 | Mihaela C. Ivan | Psychiatry & Neurology | 3955 Patient Care Way, Suitea, Lansing, MI 48911-4299 | 2006-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943603 | Promissa Personalized Care Services LLC | Assisted Living Facility | 200 E Edgewood Blvd, Lansing, MI 48911 | 2020-05-07 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
| 1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
| 1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
| 1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
| 1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
| 1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
| 1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
| 1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
| Find all providers in zip 48911 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104857762 | James H. Deering | Radiology | 1540 Lake Lansing Rd Ste 107, Lansing, MI 48912-3757 | 2006-07-05 |
| 1003805904 | Robert J Wolf | Radiology | 1540 Lake Lansing Rd, Suite 107, Lansing, MI 48912-3756 | 2005-10-14 |
| 1164798286 | Aaron Matthew Vandreel | Radiology | 401 W Greenlawn Ave, Lansing, MI 48910 | 2012-03-23 |
| 1548450547 | Sherry Aujla | Radiology | 1215 E Michigan Ave, Sparrow Health System, Lansing, MI 48912-1811 | 2007-07-26 |
| 1417172875 | Robert Bruce Hills | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2007-04-13 |
| 1245248061 | Ingham Radiology Associates, PC | Radiology | 2909 E Grand River Ave, Suite 102, Lansing, MI 48912-4300 | 2006-08-04 |
| 1982632451 | Stephen D. Chapman | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-30 |
| 1568490837 | Michael P. Buetow | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-28 |
| 1407884604 | Woon-man Chung | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-28 |
| 1427086693 | Kenneth E. Thorp | Radiology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2006-06-28 |
| Find all providers in LANSING | ||||
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| 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.