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Deactivated NPI 1962453530 Deactivated / Inactive NPI Male Practitioner

Dr. Mark S Weis , MD

General Practice • Lexington, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Weis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 16, 2006
NPI Deactivation Date November 18, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Weis, MD was a registered General Practice practicing in Lexington, KY. Throughout an active medical career spanning 16 years, Dr. Weis provided care at the practice location at 100 TRADE ST until profile deactivation on 2022-11-18.

Practice Location & Contact Primary Location

Practice Address

100 Trade St
Ste C

Lexington, KY 405112610

Telephone 8592311176
Fax 8592311186
Associated Practice Facility / Clinic
🏢 Mark Weis, Md, Psc Facility NPI 1093840654

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lexington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.2 Yrs
State Avg: 32.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Lexington, KY (142 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License KY 28932

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Kathryn Stilz , PT

Physical Therapist

NPI 1740437714

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 18, 2022

Record deactivated on November 18, 2022

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 100 TRADE ST, STE C, LEXINGTON, KY 405112610 (Tel: 8592311176)

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Updated Business Mailing Address July 09, 2007

Registered at 151 N EAGLE CREEK DR, STE 100, LEXINGTON, KY 405091889 (Tel: 8592634341)

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Provider Name / Credentials Updated July 09, 2007

Recorded as MARK WEIS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

General Practice (License #28932 in KY)

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Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962453530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2006
Last Update: July 09, 2007
Deactivation Date: November 18, 2022

Mailing Address

151 N Eagle Creek Dr, Ste 100

Lexington, KY 405091889

Phone: 8592634341

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.