MEDICARE: DR. RONALD A WEISS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MC-1634	ID
2	207RC0000X	Cardiovascular Disease Physician	R7G95	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	060025804	OTHER	MO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	036075861	OTHER	IL	IL LICENSE

General Provider Information

NPI Number	:	1871548990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD A WEISS MD

Provider Business Mailing Address
First Line	:	PO BOX 955860
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-6971
Country	:	US
Telephone Number	:	636-498-5944
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 GOOD SAMARITAN WAY STE 220
Second Line	:
City	:	MOUNT VERNON
State	:	IL
Zip	:	62864-2476
Country	:	US
Telephone Number	:	618-899-3900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	09/27/2022

Similar Medicare Providers

1235633389 — WILLIAM ALAN BISHOP
Practice Location Address:

2 GOOD SAMARITAN WAY STE 235
MOUNT VERNON, IL
62864-2476

Practice Phone: 618-899-3980
Practice Fax:

1952344509 — PETER WONG MD
Practice Location Address:

2 GOOD SAMARITAN WAY STE 235
MOUNT VERNON, IL
62864-2476

Practice Phone: 618-899-3980
Practice Fax:

1063606432 — DR. MOHAMMED AL-ZOUBAIDI M.D
Practice Location Address:

2 GOOD SAMARITAN WAY STE 220
MOUNT VERNON, IL
62864-2476

Practice Phone: 618-899-3900
Practice Fax: 618-529-0556

1285980151 — PHYSICIANS SURGERY CENTER AT GOOD SAMARITAN, LLC
Practice Location Address:

2 GOOD SAMARITAN WAY , STE 200
MOUNT VERNON, IL
62864-2476

Practice Phone: 618-899-5703
Practice Fax: 618-899-5704

1528401809 — ELIZABETH EGGEMEYER CRNA
Practice Location Address:

2 GOOD SAMARITAN WAY , STE 205
MOUNT VERNON, IL
62864-2476

Practice Phone: 618-899-3869
Practice Fax: 618-899-3558

1043757487 — ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS SURGERY CENTER LLC
Practice Location Address:

2 GOOD SAMARITAN WAY STE 200
MOUNT VERNON, IL
62864-2476

Practice Phone: 618-899-5703
Practice Fax: 618-899-5704

Directions to “ DR. RONALD A WEISS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.