| Michael L Weiss Md Ltd | |
|
4626 Sawmill Rd Columbus OH 43220-2247 | |
| (614) 538-9339 | |
| Not Available |
| Full Name | Michael L Weiss Md Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 4626 Sawmill Rd, Columbus, Ohio |
| Authorized Official Name and Position | Michael L Weiss (PRESIDENT) |
| Authorized Official Contact | 6145389339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Weiss Md Ltd 4626 Sawmill Rd Columbus OH 43220-2247 Ph: (614) 538-9339 | Michael L Weiss Md Ltd 4626 Sawmill Rd Columbus OH 43220-2247 Ph: (614) 538-9339 |
| NPI Number | 1285670646 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 05/25/2023 |
| Medicare PECOS PAC ID | 9638191695 |
|---|---|
| Medicare Enrollment ID | O20100105000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285670646 | NPI | - | NPPES |
| CG4776 | Other | MEDICARE RAILROAD | |
| 2134845 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David Dean Brill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851311559 PECOS PAC ID: 9234130592 Enrollment ID: I20070130000044 |
| Provider Name | Shelley Blackburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750327565 PECOS PAC ID: 9133279177 Enrollment ID: I20090612000001 |
| Provider Name | Michael L Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154350684 PECOS PAC ID: 2365464328 Enrollment ID: I20100105000278 |
| Provider Name | Erin C Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427495670 PECOS PAC ID: 0446491245 Enrollment ID: I20130719000659 |
| Provider Name | Ashley Pennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790126720 PECOS PAC ID: 3476797903 Enrollment ID: I20130923000595 |
| Provider Name | Sean Devlin Bloor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164981015 PECOS PAC ID: 4486980356 Enrollment ID: I20221117003041 |
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