DR. ERIC SPENCER WEISS (NPI# 1417966151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417966151 |
| Entity Type | Individual |
| Full Name | DR. ERIC SPENCER WEISS |
| Credential | M.D. |
| Practice Address |
2901 W Kinnickinnic River Pkwy Suite 511 Milwaukee WI 53215-3677 |
| Mailing Address |
2901 W Kinnickinnic River Pkwy Ste 511 Milwaukee WI 53215-3677 |
| Practice Telephone | 3176827499 |
| Mailing Telephone | 3176827499 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2014-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 259669-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03599704 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238864 | Eric Christopher Weiss | Dentist | 767 5th Ave, Suite B-3a, Chambersburg, PA 17201-4207 | 2005-07-08 |
| 1992261770 | Eric Cory Weiss | Occupational Therapist | 1415 Richmond Ave, Staten Island, NY 10314-1553 | 2019-02-16 |
| 1013370444 | Eric Michael Weiss | General Practice | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2016-04-02 |
| 1639581770 | Eric Weiss | Surgery | 5501 Old York Road, Philadelphia, PA 19141 | 2014-05-23 |
| 1639449101 | Eric J Weiss | Nurse Anesthetist, Certified Registered | 1 Pillsbury St, Suite 202, Concord, NH 03301-3556 | 2011-12-30 |
| 1154457026 | Eric Weiss | Emergency Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2007-02-26 |
| 1720139462 | Eric Alan Weiss | Emergency Medicine | 701 Welch Rd, Palo Alto, CA 94304-1709 | 2007-01-16 |
| 1730238668 | Eric Weiss | Dentist | 340 E Northfield Rd, Suite #2a, Livingston, NJ 07039-4892 | 2007-01-09 |
| 1700961018 | Eric Andrew Weiss | Specialist | 421 Kingsley Ave, Bldg 200, Orange Park, FL 32073-4897 | 2006-10-26 |
| 1851355523 | Eric Weiss | Colon & Rectal Surgery | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2006-04-12 |
| Street Address |
2901 W KINNICKINNIC RIVER PKWY SUITE 511 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-3677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536450 | John Pierrus Hanson Jr. | Internal Medicine | 2901 W Kinnickinnic River Pkwy, Ste 415, Milwaukee, WI 53215-3660 | 2005-05-23 |
| 1417588997 | Tara J Palma | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2020-02-03 |
| 1215582440 | Jesslyn J Mcmahon | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2019-08-05 |
| 1427531789 | Jessika Christine Kozik | Dental Hygienist | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2018-09-12 |
| 1982143426 | Daniel R Wells | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2017-02-16 |
| 1881132199 | Patrice Renee Fedel | Clinical Nurse Specialist | 2901 W Kinnickinnic River Pkwy, 403, Milwaukee, WI 53215-3677 | 2017-02-07 |
| 1144772161 | Cynthia Meier | Occupational Therapist | 2901 W Kinnickinnic River Pkwy, Suite 500, Milwaukee, WI 53215-3677 | 2016-10-25 |
| 1770032856 | Elise L Rozanski | Physician Assistant | 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677 | 2016-09-29 |
| 1699222521 | Julie Kindervater Maclellan | Occupational Therapist | 2901 W Kinnickinnic River Pkwy, Suite 500, Milwaukee, WI 53215-3677 | 2016-09-08 |
| 1568919066 | Amy E Barwick | Physical Therapist | 2901 W Kinnickinnic River Pkwy, Suite 500, Milwaukee, WI 53215-3677 | 2016-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205890647 | John F Just | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3333 N Mayfair Rd, Suite 209, Milwaukee, WI 53222-3219 | 2006-04-13 |
| 1003881129 | Robert P Mc Manus | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2315 N Lake Drive, # 703, Milwaukee, WI 53211 | 2006-02-22 |
| 1821097619 | Harrison T Pitcher | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2901 W Kinnickinnic River Pkwy Ste 315, Milwaukee, WI 53215 | 2005-07-14 |
| 1306445952 | Elyan Carolina Ruiz Solano | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-23 |
| 1508312570 | Azh Vascular Center Mke LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2500 W Layton Ave, Suite 40, Milwaukee, WI 53221-5420 | 2016-08-30 |
| 1043667942 | Viktor Hraska | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9200 W Wisconsin Ave, Suite 3510, Milwaukee, WI 53226-3522 | 2016-05-20 |
| 1508295841 | Chris K Rokkas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9200 W Wisconsin Ave, Suite 3510, Milwaukee, WI 53226-3522 | 2013-11-07 |
| 1821438375 | Scott Johnson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2901 W Kinnickinnic River Pkwy Ste 507, Milwaukee, WI 53215-3660 | 2013-06-28 |
| 1811259047 | Elizabeth Margaret Colwell | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2901 W Kinnickinnic River Pkwy Ste 507, Milwaukee, WI 53215 | 2012-06-13 |
| 1619243813 | William Sheehan Ragalie | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2012-04-01 |
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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.