Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Edward Weiss, PA-C

Individual provider Medical Physician Assistant · NPI 1093417768

Ryan Edward Weiss, PA-C is a Physician Assistant in Derby, Connecticut. Qualified in 2023, 3 years ago. Practices with Hartford Healthcare Urgent Care Centers LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

130 Division St
Derby, CT 06418-1326
Phone: (203) 735-7421
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6117 (CT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 6117 (CT)

Record details

NPI number1093417768
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hartford Healthcare Urgent Care Centers Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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