Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN WADE WEISS, M.D.
ActiveDR. JONATHAN WADE WEISS, M.D. is a Diagnostic Radiology healthcare provider located in MISHAWAKA, Indiana. NPI 1881779700 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · MISHAWAKA, IN
Registration Details
- NPI Number
- 1881779700
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2006 (19.80074764269 yrs)
- Last Updated
- May 16, 2013
- Licenses
-
47571-020 (WI)01065200A (IN)
Practice Information
- Address
-
620 W EDISON RDSUITE 110MISHAWAKA, IN, 465452784Browse IN providers · Browse ZIP 46545
- Phone
- 5742581100
- Fax
- 5742581101
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- 2085N0904X
Other Diagnostic Radiology Providers in MISHAWAKA, IN
| Name | Credential | NPI |
|---|---|---|
| DANIEL A BOLL | MD | 1487648184 |
| MICHAEL F GRANTHAM | MD | 1649264342 |
| RUSSELL B MIDKIFF | MD | 1346235827 |
| PEDRO A MIRO | MD | 1235124710 |
| MARK J ORMSON | MD | 1023003506 |
| ALPHONSE H HARDING | MD | 1831184399 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.