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Deactivated NPI 1164538120 Deactivated / Inactive NPI Male Practitioner

Dr. Edward Weitzman , DO

General Practice • Avondale, PA

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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. Edward Weitzman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2006
NPI Deactivation Date January 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Weitzman, DO was a registered General Practice practicing in Avondale, PA. Throughout an active medical career spanning 16 years, Dr. Weitzman provided care at the practice location at 416 GAP NEWPORT PK until profile deactivation on 2022-01-28.

Historical Medicare Part B clinical services included established patient outpatient office visit, manual urinalysis test with examination using microscope, non-automated, insertion of needle into vein, patient 3 years or older. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

416 Gap Newport Pk

Avondale, PA 19311

Telephone 6102683777
Fax 6102683399
Associated Practice Facility / Clinic
🏢 Edward Weitzman Do Pa Facility NPI 1447516521

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Avondale, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Avondale, PA (434 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
7.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
38 19 $120.00 $116.14
81000 Manual urinalysis test with examination using microscope, non-automated
34 19 $10.00 $3.98

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PA OS003683L

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

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 January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 416 GAP NEWPORT PK, AVONDALE, PA 19311 (Tel: 6102683777)

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Updated Business Mailing Address July 08, 2007

Registered at 416 GAP NEWPORT PK, AVONDALE, PA 19311 (Tel: 6102683777)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EDWARD WEITZMAN, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #OS003683L in PA)

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Initial NPI Registration & Enumeration August 22, 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: 1164538120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: July 08, 2007
Deactivation Date: January 28, 2022

Mailing Address

416 Gap Newport Pk

Avondale, PA 19311

Phone: 6102683777

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.