Provider Demographics
NPI:1982692786
Name:WEISS, MORRIS M JR (MD)
Entity Type:Individual
Prefix:MR
First Name:MORRIS
Middle Name:M
Last Name:WEISS
Suffix:JR
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 1:100 E LIBERTY ST STE 800
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1428
Mailing Address - Country:US
Mailing Address - Phone:502-585-4321
Mailing Address - Fax:502-566-6338
Practice Address - Street 1:225 ABRAHAM FLEXNER WAY
Practice Address - Street 2:SUITE 305
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1846
Practice Address - Country:US
Practice Address - Phone:502-585-4321
Practice Address - Fax:502-566-6338
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY12715207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY060066386OtherRAILROAD MEDICARE
IN200008520Medicaid
IN060014163OtherRAILROAD MEDICARE
KY64127152Medicaid
KYP00081137OtherRAILROAD MEDICARE
KY1145632Medicaid
KYC68261Medicare UPIN
KY00314004Medicare PIN
KY00312004Medicare PIN
KY00309004Medicare PIN
KY00546064Medicare Oscar/Certification
KY00311004Medicare PIN
KY00308004Medicare PIN
KY1273201Medicare PIN
IN060014163OtherRAILROAD MEDICARE
IN200008520Medicaid
KYP00612968Medicare PIN
KY0245407Medicare PIN
KY0640903Medicare PIN
KY0646501Medicare PIN
KY00313004Medicare PIN
KY00310004Medicare PIN