KENNETH L WEISS (NPI# 1497783161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497783161 |
| Entity Type | Individual |
| Full Name | KENNETH L WEISS |
| Credential | MD |
| Practice Address |
1400 Nw 12th Ave Miami FL 33136-1003 |
| Practice Telephone | 3052435512 |
| Practice Fax Number | 3052434613 |
| Mailing Telephone | 3052435512 |
| Mailing Fax Number | 3052434613 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME86986 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35-05-2264 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000199157 | 01 |
| MS | RAILROAD MEDICARE | P01212498 | 01 |
| OH | 2032017 | 05 | |
| IN | 200343060 | 05 | |
| KY | 64037559 | 05 | |
| OH | AETNA | 2591054 | 01 |
| WV | 3810002515 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861415887 | Kenneth Joel Weiss | General Practice | 9890 Main Street Rear, Damascus, MD 20872-2087 | 2006-07-25 |
| 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 |
| 1265469282 | Kenneth I Weiss | Psychologist | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2006-06-26 |
| Street Address |
1400 NW 12TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043211832 | Thomas J Fernandez | Nurse Anesthetist, Certified Registered | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2005-08-03 |
| 1811598469 | Elizabeth Olga Ferrer | Dietitian, Registered | 1400 Nw 12th Ave, Miami, FL 33136-1087 | 2020-11-02 |
| 1043810286 | Jose R Belen | Physician Assistant | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-10-27 |
| 1023617438 | Lazaro Alejandro Gonzalez | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-10-19 |
| 1285232843 | Julia Bradley | Physical Therapist | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-10-15 |
| 1841816386 | Daniel Andres Lozada | Registered Nurse | 1400 Nw 12th Ave, Miami, FL 33136-1087 | 2020-06-21 |
| 1346873296 | Lillian Soto | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-02-19 |
| 1699315804 | Laira D Sanchez | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1087 | 2020-01-15 |
| 1093350803 | Edgard Roa | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2019-11-15 |
| 1659915569 | Natalie Collazo | Registered Nurse | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2019-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| 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 |
|---|---|---|---|---|
| 1760837991 | Bay Area Radiology, PC | Radiology | 4071 Battersea Rd, Miami, FL 33133-6601 | 2016-04-25 |
| 1144682626 | Bradley Fox | Radiology | 1475 Nw 12th Ave Bldg Room600d, Miami, FL 33136-1002 | 2016-03-24 |
| 1376953166 | Elena G. Violari | Radiology | Baptist Health of South Florida, 8900 North Kendall Drive, Miami, FL 33176 | 2014-05-01 |
| 1326469263 | Benjamin Boyle | Radiology | 9612 Sw 148th Ave, Miami, FL 33196 | 2013-12-19 |
| 1679837892 | Florida United Radiology, Lc | Radiology | 2065 Ne 204th St, Miami, FL 33179-2218 | 2012-07-03 |
| 1659630085 | Neal K Viradia | Radiology | 1201 Nw 16th St Dept Of, Miami, FL 33125-1624 | 2012-05-04 |
| 1982977377 | Cbc Imaging Center LLC | Radiology | 18140 Sw 97th Ave, Miami, FL 33157-5501 | 2012-02-15 |
| 1710258504 | Mp Diagnostic Ltd | Radiology | 6401 Sw 87 Avenue, Suite 121, Miami, FL 33173-2520 | 2012-01-25 |
| 1619256658 | Radreads Pllc | Radiology | 115 Sw 36th Court, Miami, FL 33135-1016 | 2011-08-09 |
| 1851607832 | Amauri Valdes Md Pa | Radiology | 3990 W Flagler, Suite 204, Miami, FL 33134 | 2010-08-27 |
| Find all providers in MIAMI | ||||
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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.