MEDICARE: EDWARD S 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	036043458	IL
2	207RC0000X	Cardiovascular Disease Physician	R4677	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000011832	OTHER		ESSENCE
2	42988V30946	OTHER		HLTHPART
3	10025V8816	OTHER		HCUSA
4	2248981	OTHER		CIGNA
5	A12743	OTHER		MERCY
6	21785	OTHER		MOBS/BLCHOICE
7	431098908	OTHER		TRICARE
8	119140	OTHER		HLNK
9	2500095	OTHER		UHC
10	4001174	OTHER		AETNA
11	060067878	OTHER	IL	ILRRMCR
12	5914V3831	OTHER		GHP/CMR
13	060031058	OTHER	MO	MORRMCR
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437142338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD S WEISS MD

Provider Business Mailing Address
First Line	:	11125 DUNN RD
Second Line	:	SUITE 204
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-6132
Country	:	US
Telephone Number	:	314-839-5522
Fax Number	:	314-839-5351

Provider Business Practice Location Address
First Line	:	11125 DUNN RD
Second Line	:	SUITE 204
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-6132
Country	:	US
Telephone Number	:	314-839-5522
Fax Number	:	314-839-5351

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	10/28/2020

Similar Medicare Providers

1073491635 — SKYLAR GODARD
Practice Location Address:

11125 DUNN RD STE 301
SAINT LOUIS, MO
63136-6132

Practice Phone: 314-953-8250
Practice Fax:

1891658522 — PAYTON BODDEN PA-C
Practice Location Address:

11125 DUNN RD STE 301
SAINT LOUIS, MO
63136-6132

Practice Phone: 314-273-2234
Practice Fax:

1952599631 — MS. JILL R SPECA PA
Practice Location Address:

11125 DUNN RD STE 301
SAINT LOUIS, MO
63136-6132

Practice Phone: 314-953-8250
Practice Fax: 314-953-8255

1083617294 — MORIN MICHAEL HANSON M.D.
Practice Location Address:

11125 DUNN RD , STE 402
SAINT LOUIS, MO
63136-6132

Practice Phone: 314-741-3400
Practice Fax: 314-741-4357

1124011028 — DR. LALITHKUMAR K CHOUHAN MD
Practice Location Address:

11125 DUNN RD , STE 204
SAINT LOUIS, MO
63136-6132

Practice Phone: 314-839-5522
Practice Fax: 314-839-5351

1528051422 — ROBERT G LUTAN MD
Practice Location Address:

11125 DUNN RD , SUITE 204
SAINT LOUIS, MO
63136-6132

Practice Phone: 314-839-5522
Practice Fax: 314-839-5351

Directions to “ EDWARD S 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.