Provider Demographics
NPI:1588619167
Name:ARTHRITIS ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:ARTHRITIS ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:IAN
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-582-7655
Mailing Address - Street 1:7100 U S HIGHWAY 98 STE 220
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-8557
Mailing Address - Country:US
Mailing Address - Phone:601-582-7655
Mailing Address - Fax:601-582-3229
Practice Address - Street 1:7100 U S HIGHWAY 98 STE 220
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-8557
Practice Address - Country:US
Practice Address - Phone:601-582-7655
Practice Address - Fax:601-582-3229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS15589207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0118558Medicaid
F95059Medicare UPIN
660000025Medicare ID - Type Unspecified
MS4893600002Medicare NSC