KENNETH S WEISS (NPI# 1700889730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700889730 |
| Entity Type | Individual |
| Full Name | KENNETH S WEISS |
| Credential | M.D. |
| Practice Address |
6286 Briarcrest Ave Ste 200 Memphis TN 38120-4023 |
| Mailing Address |
6077 Primacy Pkwy Ste 140 Memphis TN 38119-5742 |
| Practice Telephone | 9016413000 |
| Practice Fax Number | 9017012400 |
| Mailing Telephone | 9016413000 |
| Mailing Fax Number | 9017012400 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 34880 | TN | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
34880 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CIGNA | 3881110 | 01 |
| TN | BCBS | 4014940 | 01 |
| TN | AETNA | 620819926 | 01 |
| TN | AETNA | 7146128 | 01 |
| TN | RAILROAD MEDICARE | 200041126 | 01 |
| TN | CIGNA | 620819926 | 01 |
| TN | 3371161 | 05 | |
| UT | TLC | 40106 | 01 |
| TN | TRICARE | 620819926 | 01 |
| AR | 158715001 | 05 | |
| MS | 7187860 | 05 | |
| MS | 000125415 | 05 | |
| AR | 110318002 | 05 | |
| TN | 3863989 | 05 | |
| MS | BCBS | 620819926 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 310 Judge Smith Dr, Marion, AR 723642220 | 9016413000 | 9017012400 |
| 7580 Clarington Cv, Southaven, MS 386715657 | 9016413000 | 9017012400 |
| 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 |
| 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 |
6286 BRIARCREST AVE STE 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197919 | Emma Virginia Cotton | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2020-02-25 |
| 1295395333 | Maria Moore | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2019-06-20 |
| 1861960312 | Kori Taylor | Occupational Therapist | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2018-11-02 |
| 1851805550 | David James Caswell | Physical Therapy Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2017-11-17 |
| 1407391055 | Jessica Bradshaw | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2017-01-05 |
| 1326592015 | Sarah Elizabeth Hill | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2016-08-10 |
| 1396194122 | Leslie Frazier | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2016-06-13 |
| 1689040271 | Sarah Anne Hammond | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2015-08-18 |
| 1457770588 | William Austin Hester IIi | Orthopaedic Surgery | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2014-04-16 |
| 1518226398 | Andrew John Wodowski | Orthopaedic Surgery | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2012-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001163 | Philip M Aronoff | Orthopaedic Surgery | 6286 Briarcrest Ave, Memphis, TN 38120-4078 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1568947059 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 7545 Barnett Way Ste 5, Powell, TN 37849-3565 | 2018-10-01 |
| 1699281451 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 799 S Willow Ave, Cookeville, TN 38501-5997 | 2017-12-15 |
| 1942716709 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 820 N Thompson Ln Ste 1h, Murfreesboro, TN 37129-4340 | 2017-12-15 |
| 1871009639 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 1047 Glenbrook Way Ste 110, Hendersonville, TN 37075-1231 | 2017-12-15 |
| 1235528027 | Jeffrey Barnes | Orthopaedic Surgery | 2209 Raines Ct, Spring Hill, TN 37174-7521 | 2015-01-15 |
| 1821325424 | West Tennessee Orthopaedics and Sports Medicine, PC | Orthopaedic Surgery | 1003 E Reelfoot Ave., Suite 4, Union City, TN 38261-5871 | 2009-11-03 |
| 1710154331 | James P Leonard | Orthopaedic Surgery | 1215 21st Avenue, Mce South Tower, Suite 3200, Nashville, TN 37205 | 2008-05-13 |
| 1588701999 | J W Thomas Byrd | Orthopaedic Surgery | 2004 Hayes St Ste 700, Nashville, TN 37203-5178 | 2007-02-01 |
| 1811919335 | Lawrence F Schrader | Orthopaedic Surgery | 927 Cordova Station Ave, Cordova, TN 38018-6316 | 2006-07-24 |
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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.