Provider Demographics
NPI:1942201686
Name:WEISS, JAMES MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MATTHEW
Last Name:WEISS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 EXECUTIVE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3803
Mailing Address - Country:US
Mailing Address - Phone:301-468-8999
Mailing Address - Fax:
Practice Address - Street 1:13211 EXECUTIVE PARK TER
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2647
Practice Address - Country:US
Practice Address - Phone:301-540-4791
Practice Address - Fax:301-540-0617
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0044709207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2054352OtherMAMSI INDIVIDUAL PROV #
MD719742OtherCIGNA INDIVIDUAL PROV #
MD215352OtherOPTIMUM CHOICE IND PROV #
MD75863601OtherBSMD INDIVIDUAL PROV #
MD2154352OtherMDIPA INDIVIDUAL PROV #
MD9070 0031OtherBSDC INDIVIDUAL PROV #
MD521186611OtherUNITED INDIVIDUAL PROV #
MD75863601OtherBSMD INDIVIDUAL PROV #
MD215352OtherOPTIMUM CHOICE IND PROV #