GLEN WEISS (NPI# 1770639353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770639353 |
| Entity Type | Individual |
| Full Name | GLEN WEISS |
| Credential | MD |
| Practice Address |
14200 W Celebrate Life Way Goodyear AZ 85338-3007 |
| Practice Telephone | 6232073109 |
| Practice Fax Number | 6233211528 |
| Mailing Telephone | 6232073109 |
| Mailing Fax Number | 6233211528 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2014-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
37390 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TL-1462 | CO | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871575217 | Glen H Weiss | Ophthalmology | 171 Ramapo Rd, Garnerville, NY 10923-1552 | 2005-11-18 |
| Street Address |
14200 W CELEBRATE LIFE WAY |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648632 | Jennifer Lou Spicer | Physician Assistant | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2005-06-01 |
| 1831714989 | Jeremy Michael Gerber | Pharmacist | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2020-06-15 |
| 1477107613 | Matthew Ryan Spenla | Anesthesiology | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2019-07-25 |
| 1366920035 | Chelsey May Mccauley | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338 | 2018-08-03 |
| 1649756396 | Sara Schumacher | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2018-07-16 |
| 1497231369 | Samantha Peterson | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2018-07-13 |
| 1962864397 | Jeffrey Paulus | Anesthesiology | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2016-03-24 |
| 1346617826 | Sarah Kristofik | Genetic Counselor, MS | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2015-08-31 |
| 1972911022 | Jordan Waypa | Nurse Practitioner | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2014-07-31 |
| 1780947028 | Vishangi Dave | Internal Medicine | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2012-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477753903 | Nawazish Ali Khan | Internal Medicine | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528526472 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 3530 S Val Vista Dr Ste C203, Gilbert, AZ 85297-7318 | 2019-03-11 |
| 1184126344 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 9755 N 90th St Ste A105, Scottsdale, AZ 85258-5046 | 2018-03-05 |
| 1174882690 | Douglas Robinson | Internal Medicine | 10624 N Crestview Dr, Fountain Hills, AZ 85268-6107 | 2012-05-04 |
| 1528258662 | Joshua Labaer | Internal Medicine | 1001 S Mcallister Ave, Tempe, AZ 85287-0001 | 2007-07-25 |
| 1548349707 | Morris H. Fine | Internal Medicine | 4090 N Painted Quail Pl, Tucson, AZ 85750-6140 | 2006-11-06 |
| 1013954858 | Cochise Oncology LLC | Internal Medicine | 5151 E Highway 90, Sierra Vista, AZ 85635-2436 | 2006-06-01 |
| 1205890530 | William Bruce Ethridge | Internal Medicine | 1951 W 25th Street, Ste F, Yuma, AZ 85364 | 2006-04-13 |
| 1255322871 | Robert Gary Gagliano | Internal Medicine | 203 S Candy Ln, Suite 9a, Cottonwood, AZ 86326-4120 | 2005-11-02 |
| 1417942905 | Nathaniel Fastenberg | Internal Medicine | 6111 E Arbor Ave, Mesa, AZ 85206-6059 | 2005-09-12 |
| 1801397658 | Ctca Physicians Group of Arizona, Inc. | Internal Medicine | 2925 W Rose Garden Ln, Phoenix, AZ 85027-3135 | 2018-02-27 |
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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.