Provider Demographics
NPI:1922090893
Name:WEIS, JAMES C (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:WEIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 848269
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-8269
Mailing Address - Country:US
Mailing Address - Phone:610-973-1700
Mailing Address - Fax:610-973-1778
Practice Address - Street 1:250 CETRONIA ROAD
Practice Address - Street 2:SUITE 303
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9168
Practice Address - Country:US
Practice Address - Phone:610-973-6200
Practice Address - Fax:610-973-6546
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031627E207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
821058OtherFIRST PRIORITY HEALTH
PA21890OtherGEISINGER
PA0010618420001Medicaid
PA01235401OtherCAPITAL BLUE CROSS
PA117745OtherBLUE SHIELD
PA0066208000OtherKEYSTONE EAST
PA117745OtherAMERIHEALTH ADMINISTRATOR
PA117745OtherKEYSTONE HEALTH PLAN CENT
PA4515759OtherAETNA
PA6891202001OtherCIGNA
PA200023704OtherRAILROAD MEDICARE
PAP592790OtherOXFORD
PA117745OtherAMERIHEALTH ADMINISTRATOR
PA0010618420001Medicaid