DR. TAHLIA LEIGH WEIS (NPI# 1982967840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982967840 |
| Entity Type | Individual |
| Full Name | DR. TAHLIA LEIGH WEIS |
| Credential | PH.D., M.D. |
| Practice Address |
169 Ashley Ave Room 202 Main Hospital, Msc 333 Charleston SC 29425-8905 |
| Practice Telephone | 8437921414 |
| Mailing Telephone | 8437921414 |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2016-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
LL34944 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC 333 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881683621 | Henry R Smith Jr. | Pharmacist | 169 Ashley Ave, Room 149 Musc, Charleston, SC 29403-5836 | 2005-10-14 |
| 1700490794 | Ryan Zachery Stone | Physician Assistant | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-09-07 |
| 1659997187 | Baxter Timmons Williams | Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-20 |
| 1295351195 | Margaret Lee Ferrell | Dentist | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-17 |
| 1518582469 | Afifah Khan | Internal Medicine | 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2020-06-16 |
| 1437775376 | Timothy Andrew Webb | Neurological Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-16 |
| 1083239677 | Chelsea Danielle Eason | Dermatology | 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2020-06-10 |
| 1922623503 | John Matti Sippola Thiele | Internal Medicine | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-10 |
| 1457976243 | Lauren Knightly | Obstetrics & Gynecology | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-08 |
| 1801410824 | Allison Kuipers | Pediatrics | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1801985007 | Thomas C. Appleby | Surgery | 1327 Ashley River Road, Building B, Charleston, SC 29407 | 2006-10-12 |
| 1164536215 | Sean J Hislop | Surgery | 1327 Ashley River Rd, Charleston, SC 29407-5384 | 2006-08-18 |
| 1770109761 | John Ryan Gedney | Surgery | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-25 |
| 1760006316 | Tru Dang | Surgery | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-05-29 |
| 1861920951 | Ryan William King | Surgery | 169 Ashley Ave Rm 202, Charleston, SC 29425-8900 | 2017-06-01 |
| 1316396161 | Joseph Anderson | Surgery | 169 Ashley Ave Rm 202, Msc333, Charleston, SC 29425-8905 | 2016-06-11 |
| 1952711053 | Zachary Aburahma | Surgery | 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 | 2014-04-29 |
| 1336415454 | Mathew David Wooster | Surgery | 171 Ashley Ave, Charleston, SC 29425-4742 | 2012-03-23 |
| 1609162999 | Elizabeth Anne Genovese | Surgery | 171 Ashley Ave, Charleston, SC 29425 | 2011-06-24 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.