LARRY WEISS DPM PC NPI 1457385841

NPI Information

NPI: 1457385841
Provider Name: LARRY WEISS DPM PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
17421 GREENFIELD
DETROIT, MI
ZIP 48235
Phone: (313) 273-7091
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LARRY WEISS DPM PC is a foot and ankle surgery podiatrist in Detroit, MI. LARRY WEISS DPM PC NPI is 1457385841. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17421 GREENFIELD
DETROIT, MI
ZIP 48235
Phone: (313) 273-7091
Fax: (313) 273-7694

The provider's authorized official is Debra Hillson .
The authorized official title is Billing Agent and has the following contact phone number (248) 569-5960.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 2/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	5901000807	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0M22500	MEDICARE PIN	MICHIGAN
2	T34409	MEDICARE UPIN	MICHIGAN
3	0899490001	MEDICARE NSC	MICHIGAN
4	1485013	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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