JACK GILBERT WEISS CRNA
NPI 1174534754
Nurse Anesthetist, Certified Registered in Flagstaff, AZ

Q: What is Jack Weiss's NPI number?

The NPI number for Jack Weiss is 1174534754. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is Jack Weiss's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Weiss was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2006

77 W FOREST AVE, SUITE 207, FLAGSTAFF, AZ 86001(928) 773-2505(928) 773-2504 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jack Gilbert Weiss Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK GILBERT WEISS CRNA (NPI 1174534754) is an individual nurse anesthetist, certified registered in Flagstaff, Arizona, licensed in Arizona (CRNA0011) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1174534754

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJACK GILBERT WEISSCredential: CRNA

Location Address77 W FOREST AVE, SUITE 207Flagstaff, AZ 86001-1479

Mailing Address77 W Forest Ave, Suite 207Flagstaff, AZ 86001-1479 · (928) 773-2505 · Fax (928) 773-2504

Phone(928) 773-2505

Fax(928) 773-2504

Sole ProprietorNo

Enumeration DateAugust 10, 2006

Last NPPES UpdateFebruary 5, 2008

✔ NPI 1174534754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in AZ · CRNA0011

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

77 W FOREST AVE, Flagstaff, AZ 86001

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Other Identifiers 5

Medicare UPINR85797AZ

Medicare PINZCRNA45391AAZ

Medicare ID-Type UnspecifiedCRNA45391AAZ

Medicaid363242AZ

Medicare PINCRNA45391AAZ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL E WESCHE MD

Surgery

77 W FOREST AVE, SUITE 201
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2222

MS. SHERRY ANN MACE FNP

Nurse Practitioner (Family)

77 W FOREST AVE, SUITE 301
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2538

NEINA ORRILLO CRNA

Nurse Anesthetist, Certified Registered

77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2505

BARBARA L. BOSCH M.D.

Pediatrics

77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001

Coconino County (928) 214-3600

DR. DOUGLAS DEAN LEE MD

Anesthesiology

77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2505

NORTHERN ARIZONA CARDIOVASCULAR SPECIALISTS PC

Internal Medicine (Cardiovascular Disease)

77 W FOREST AVE, SUITE 302
FLAGSTAFF, AZ 86001

Coconino County (928) 214-0470

DR. GARY STEVEN CHRISTENSEN MD

Anesthesiology

77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2505

LEE B MCGAREY MD

Pediatrics

77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001

Coconino County (928) 214-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Weiss's NPI number?

The NPI number for Jack Weiss is 1174534754. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Jack Weiss located?

Jack Weiss practices at 77 W Forest Ave Suite 207, Flagstaff, AZ 86001. The listed phone number is (928) 773-2505.

What is Jack Weiss's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Jack Weiss was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.