Individual
DR. ROGER M WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6847 N CHESTNUT ST, SUITE 330, RAVENNA, OH 44266-3929
(330) 296-8048
(330) 296-8208
Mailing address
701 WHITE POND DR, SUITE 300, AKRON, OH 44320-1127
(330) 572-1011
(330) 572-1018
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
054629
CO
2084N0400X
Neurology Physician
34006137W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328351
ANTHEM BLUECROSS/BLUESHEI
OH
05
—
0164610
—
OH
01
—
025996
KAISER COMMERCIAL NUMBER
CO
01
—
341097565RW
SUMMACARE
OH
01
—
729708
BUCKEYE COMMUNITY HEALTH
OH
05
—
91606713
—
CO
01
—
P00140783
RAILROAD MEDICARE
OH
Enumeration date
04/10/2006
Last updated
11/26/2018
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