Ryan E Weiss, PA-C
Physician Assistant, Medical in Derby, Connecticut
1093417768- Practice location
- 130 Division St, Derby, CT 06418-1326
- Phone
- 203-735-7421
- Fax
- —
- Last updated
- February 20, 2025
Ryan Edward Weiss is a Physician Assistant, Medical based in Derby, CT. Ryan Edward Weiss practices in Derby, CT and has the professional credentials of PA-C. The NPI Number for Ryan Edward Weiss is 1093417768 and holds a License No. 6117 (CT). The current practice location address for Ryan Edward Weiss is 130 Division St, Derby, CT 06418-1326 and can be reached out via phone at 203-735-7421.
Provider Profile Details
- NPI Number
- 1093417768
- Provider Name
- Ryan Edward Weiss
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 130 Division St, Derby, CT 06418-1326
- Phone Number
- 203-735-7421
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 20, 2023
- Last Update Date
- February 20, 2025
- Certification Date
- February 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Division St
Derby, CT 06418-1326 - City
- Derby
- State
- Connecticut
- Zip
- 06418-1326
- Phone Number
- 203-735-7421
Provider Business Mailing Address Details
- Address
- 190 Marshall St
Winsted, CT 06098-2272 - City
- Winsted
- State
- CT
- Zip
- 06098-2272
- Phone Number
- 860-459-5114
License Information
- License Number (1)
- 6117
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X · Primary
- License Number (2)
- 6117
- License State (2)
- CT
- Taxonomy (2)
- Family Medicine · 207Q00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ryan E Weiss, PA-C?
The NPI number of Ryan E Weiss, PA-C is 1093417768. It was assigned on March 20, 2023 and is currently active in the NPPES registry.
What is the specialty of Ryan E Weiss, PA-C?
Ryan E Weiss, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 6117.
Where does Ryan E Weiss, PA-C practice?
The practice location is 130 Division St, Derby, CT 06418-1326. The office can be reached at 203-735-7421 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093417768 directly on the NPPES registry website.