MEDICARE: CARL B WEISS M.D.

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	207XS0106X	Orthopaedic Hand Surgery Physician	39392	TN
2	207XS0106X	Orthopaedic Hand Surgery Physician	0101242939	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	P00615742	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	620819926	OTHER	MS	BCBS
2	0723280001	OTHER	TN	PALMETTO
3	620819926	OTHER	TN	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	620819926	OTHER	TN	CIGNA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	4101961	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1184627820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARL B WEISS M.D.

Provider Business Mailing Address
First Line	:	8405 N RUN MEDICAL DR
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-2309
Country	:	US
Telephone Number	:	804-789-8600
Fax Number	:	804-789-8619

Provider Business Practice Location Address
First Line	:	8405 N RUN MEDICAL DR
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-2309
Country	:	US
Telephone Number	:	804-789-8600
Fax Number	:	804-789-8619

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

Provider Enumeration Date	:	05/26/2005
Last Update Date	:	04/04/2023

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Directions to “ CARL B WEISS M.D.” Practice Location

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