KENNETH JOEL WEISS (NPI# 1861415887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861415887 |
| Entity Type | Individual |
| Full Name | KENNETH JOEL WEISS |
| Credential | MD |
| Practice Address |
9890 Main Street Rear Damascus MD 20872-2087 |
| Practice Telephone | 3012536977 |
| Practice Fax Number | 3012539091 |
| Mailing Telephone | 3012536977 |
| Mailing Fax Number | 3012539091 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | D0014097 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225087877 | Kenneth Weiss | Family Medicine | 8101 Washington Ln, Suite 101, Wyncote, PA 19095-1625 | 2006-05-10 |
| 1700889730 | Kenneth S Weiss | Orthopaedic Surgery | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2005-05-23 |
| 1164564852 | Kenneth J Weiss | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2007-02-12 |
| 1538209515 | Kenneth Weiss | Otolaryngology | 10377 S Us Highway 1, Ste 101, Port St Lucie, FL 34952-5630 | 2007-02-07 |
| 1356407506 | Kenneth Jay Weiss | Psychiatry & Neurology | 333 E City Ave, Suite 300, Bala Cynwyd, PA 19004-1501 | 2006-12-29 |
| 1396835096 | Kenneth S Weiss | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-10-13 |
| 1760492730 | Kenneth Mark Weiss | Psychologist | 10000 Brecksville Rd, Va Medical Center - 51a, Brecksville, OH 44141-3204 | 2006-08-09 |
| 1497783161 | Kenneth L Weiss | Radiology | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2006-06-29 |
| 1265469282 | Kenneth I Weiss | Psychologist | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2006-06-26 |
| Street Address |
9890 MAIN STREET REAR |
| City | DAMASCUS |
| State | MD |
| Zip Code | 20872-2087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072601 | Jayesh N Patel | Pharmacist | Weis Pharmacy, 26075 S. Ridge Rd, Damascus, MD 20872 | 2018-11-26 |
| 1396264834 | Perfect Balance Counseling Services, LLC | Counselor | 28201 Clarksburg Road, Damascus, MD 20872 | 2017-09-15 |
| 1972900520 | Heather Clark | Family Medicine | 9815 Main St Ste 208, Damascus, MD 20872 | 2014-11-25 |
| 1669819991 | Teicher Nicole Agosto | Pharmacist | 25613 Coltrane Drive, Damascus, MD 20872 | 2013-05-28 |
| 1295178663 | Cherifath Imelda Akimey Amadou Kiki | Home Health Aide | 2705 Nicholson Street Apt 302, Hyattsville, MD 20872 | 2013-04-16 |
| 1013297084 | Vera Bong Sangbong | Pharmacist | 9807 Main Street, Damascus, MD 20872 | 2011-08-23 |
| 1881736502 | Graciano P Gancayco | Pediatrics | 9701 New Church St., Damascus, MD 20872 | 2007-02-12 |
| 1700961893 | Richard J Schoeb Dds Chtd | Dentist | 9701 New Church St, Suite 9, Damascus, MD 20872 | 2006-10-26 |
| 1508838111 | Frank H Lewis Dds LLC | Dentist | 9899 Main St, Suite 200, Damascus, MD 20872 | 2006-02-07 |
| 1952303604 | Theresa D Poepperling | Midwife | 26005 Ridge Road, Suite 200, Damascus, MD 20872 | 2005-08-12 |
| Find all providers in zip 20872 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023428034 | Victoria L. Larson | General Practice | 10,000 Se 222nd Ave., Damascus, OR 97089-6517 | 2014-04-29 |
| 1972873461 | Mark Owens Thornton | General Practice | 26120 Kings Valley Rd, Damascus, MD 20872-1633 | 2011-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490950 | Arlene Elizabeth George | General Practice | 1500 W Perimeter Rd Ste 4350, Jb Andrews, MD 20762-6604 | 2020-09-04 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1548889447 | Canary Doctor LLC | General Practice | 8904 Maxwell Dr, Potomac, MD 20854-3124 | 2020-04-10 |
| 1083247894 | Medstar Medical Group II LLC | General Practice | 9101 Franklin Square Drive, Ste 200, Medical Arts Building, Baltimore, MD 21237-4072 | 2020-02-20 |
| 1881239838 | Avicention LLC | General Practice | 350c Fortune Ter # 227, Potomac, MD 20854-2980 | 2019-11-14 |
| 1972148963 | My Primary Care | General Practice | 826 Washington Rd Ste 110, Westminster, MD 21157-5779 | 2019-11-13 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1720623242 | Assured Access Medical Associates Inc. | General Practice | 7221 Hanover Pkwy Ste C, Greenbelt, MD 20770-2022 | 2019-11-07 |
| 1780240671 | Capstone Treatment Center, Inc | General Practice | 1133 E West Hwy Apt 204e, Silver Spring, MD 20910-4804 | 2019-05-15 |
| 1861058935 | Revive Treatment Center Inc | General Practice | 1133 E West Hwy Apt 1515w, Silver Spring, MD 20910-6833 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
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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.