Kaitlin Weiss (NPI# 1558810713, PAC ID# 1254613342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1558810713 |
| PAC ID by PECOS | 1254613342 |
| Professional Enrollment ID | I20170125002144 |
| Full Name | Kaitlin Weiss |
| Organization Legal Name | EAR, NOSE AND THROAT ASSOCIATES, PC |
| Address |
7926 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Phone Number | 2604268117 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3375504301 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | 2604268117 | EAR, NOSE AND THROAT ASSOCIATES, PC |
| 7926 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2604268117 | EAR, NOSE AND THROAT ASSOCIATES, PC |
| Organization Legal Name | EAR, NOSE AND THROAT ASSOCIATES, PC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria C Ambush | Nurse Practitioner | Ear, Nose and Throat Associates, PC | 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 |
| Sarah E Miner | Qualified Audiologist | Ear, Nose and Throat Associates, PC | 7926 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Amy Lai | Otolaryngology | Ear, Nose and Throat Associates, PC | 1169 N Main St, Suite 5, Bluffton, IN 46714-1360 |
| Stephen J Schreck | Otolaryngology | Ear, Nose and Throat Associates, PC | 3161 E Ctr St, Warsaw, IN 46582-3901 |
| Melanie Reszel Offerle | Qualified Audiologist | Ear, Nose and Throat Associates, PC | 815 High St, Decatur, IN 46733-2351 |
| Paul Porter | Otolaryngology | Ear, Nose and Throat Associates, PC | 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 |
| Madison K Ziegel | Qualified Audiologist | Ear, Nose and Throat Associates, PC | 3161 E Ctr St, Warsaw, IN 46582-3901 |
| Amanda R Graves | Qualified Speech Language Pathologist | Ear, Nose and Throat Associates, PC | 7926 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Adam R Kaiser | Otolaryngology | Ear, Nose and Throat Associates, PC | 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 |
| Deepkaran Reddy | Otolaryngology | Ear, Nose and Throat Associates, PC | 7926 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Street Address |
7926 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip | 46804-4140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Miner | Qualified Audiologist | Ear, Nose and Throat Associates, PC | 7926 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Amanda R Graves | Qualified Speech Language Pathologist | Ear, Nose and Throat Associates, PC | 7926 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Deepkaran Reddy | Otolaryngology | Ear, Nose and Throat Associates, PC | 7926 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Michele M Parrish | Qualified Speech Language Pathologist | Ear, Nose and Throat Associates, PC | 7926 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Alison Schortgen | Qualified Audiologist | Ear, Nose and Throat Associates, PC | 7926 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Mohan K Rao | Otolaryngology | Ear, Nose and Throat Associates, PC | 7926 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Rachel Allyson Stone | Physician Assistant | Ear, Nose and Throat Associates, PC | 7926 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Jessica Lorenz | Qualified Audiologist | Ear, Nose and Throat Associates, PC | 7926 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Griffith | Speech Language Pathologist | 6205 Constitution Dr, Fort Wayne, IN 46804-1517 | |
| Michael Scherbinski | Clinical Psychologist | Prometheus Psychological Services | 6229 Constitution Dr, Fort Wayne, IN 46804-1517 |
| Jessie Whiteman | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Monique L M Levesque-hartle | Chiropractic | Allen County Chiropractic LLC | 6320 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Amy Harmeyer | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Casey Peterson | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Ashley Brown | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Nicholas Hammond | Physician Assistant | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Barbara L Starry | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Rochelle L Johnson | Nurse Practitioner | Rounding Providers | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Find all physicians in zip 46804 | |||
| City | FORT WAYNE |
| Zip Code | 46804 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FORT WAYNE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kaitlin Weiss.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.