TRAVIS JAMES WEISS (NPI# 1699084814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699084814 |
| Entity Type | Individual |
| Full Name | TRAVIS JAMES WEISS |
| Credential | PA |
| Practice Address |
6724 State Highway 77 Benton MO 63736-8238 |
| Mailing Address |
6738 State Highway 77 Benton MO 63736-8238 |
| Practice Telephone | 5735454200 |
| Practice Fax Number | 5735454425 |
| Mailing Telephone | 5733132500 |
| Mailing Fax Number | 5733132505 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2010034785 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631011 | Travis John Weiss | Emergency Medical Technician, Paramedic | 200 Wings Way, Belgrade, MT 59714-3556 | 2019-10-21 |
| Street Address |
6724 STATE HIGHWAY 77 |
| City | BENTON |
| State | MO |
| Zip Code | 63736-8238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992048961 | Jessica Pickel | Dental Hygienist | 6724 State Highway 77, Benton, MO 63736-8238 | 2013-03-28 |
| 1497035661 | Southeast Missouri Health Network | Clinic/Center | 6724 State Highway 77, Benton, MO 63736-8238 | 2011-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528348778 | Southeast Missouri Health Network | Dentist | 6724 Highway 77 E, Benton, MO 63736 | 2011-08-19 |
| 1245415389 | Comprehensive Family Health Care LLC | Family Medicine | 142 S Winchester St, Benton, MO 63736-0000 | 2008-01-08 |
| 1427385376 | Amber Nicole Thorne | Nurse Practitioner | 6468 State Highway 77, Benton, MO 63736-8237 | 2009-11-13 |
| 1609230507 | Missouri Delta Medical Center | Clinic/Center | 6468 State Highway 77, Benton, MO 63736-8237 | 2016-04-07 |
| 1902297880 | Jaimie Suzanne Cannon | Nurse Practitioner | 6468 State Highway 77, Benton, MO 63736-8237 | 2015-02-12 |
| 1932108974 | Southeast Missouri Health Network | Clinic/Center | 6738 State Highway 77, Benton, MO 63736-8238 | 2005-07-20 |
| 1366514523 | Scott County R-iv School District | Physical Therapist | 4035 State Highway 77, Benton, MO 63736-9162 | 2006-11-14 |
| 1407489727 | Lana Jean Atkins | Speech-Language Pathologist | 4035 State Highway 77, Benton, MO 63736-9162 | 2020-02-14 |
| 1043686546 | A & A In-home Health Care, LLC | Home Health | 568 County Highway 504, Benton, MO 63736-9193 | 2015-08-19 |
| 1275134264 | Stephanie Suzanne Worth | Physical Therapy Assistant | 135 Meyers Lake Ct, Benton, MO 63736-9201 | 2020-11-05 |
| Find all providers in zip 63736 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982115218 | Tabitha Jaggers | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2017-10-13 |
| 1942282660 | Rma-operating, Inc. | Physician Assistant | 83 Wellness Way, Benton, KY 42025-7156 | 2005-11-17 |
| 1700354933 | Tyler L Childs | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2018-11-06 |
| 1285180281 | Ashley Martindale | Physician Assistant | 105 Mcneil St, Benton, AR 72015-3345 | 2016-08-30 |
| 1790150498 | Stefani R Ford | Physician Assistant | 1000 Highway 35 N, Suite 8, Benton, AR 72019-2351 | 2015-12-07 |
| 1558657999 | Natalie Shea Bradford | Physician Assistant | 819 W Carpenter St, Benton, AR 72015-3349 | 2011-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628528 | Sarah Benson | Physician Assistant | 26791 Andrews Ln, Warrenton, MO 63383-6240 | 2020-04-23 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1912538752 | Karen Anghel | Physician Assistant | 804 S Kisner Dr, Independence, MO 64056-3062 | 2020-01-30 |
| 1457822082 | Jwan Alallaf | Physician Assistant | 4121 Roanoke Rd Apt 18, Kansas City, MO 64111-4053 | 2018-12-07 |
| 1730602921 | Saurav N Kayastha | Physician Assistant | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2017-07-19 |
| 1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
| 1992165104 | Cassie Mcgee | Physician Assistant | 1051 Jones St, Kennett, MO 63857-3866 | 2016-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| 1235453150 | James F Patton | Physician Assistant | 913 South St, Stockton, MO 65785-9381 | 2010-03-22 |
| 1649397894 | Rachel S Tarr | Physician Assistant | 2208 Richert Pl, Saint Louis, MO 63143-2522 | 2007-03-23 |
| 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.