Organization Active NPI

Weninger Medical Corp

  • Specialist
  • Michigan City, IN
National Provider Identifier
1013177864
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01020206 Issued in IN
Legal business name
WENINGER MEDICAL CORP
Practice address
8865 W 400 N
Michigan City, IN 46360-9222
Phone
(219) 871-0833
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald L Weninger, M.D.
Title
Owner
Phone
(219) 324-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 01020206 IN Primary

Addresses

Primary practice location

8865 W 400 N
Michigan City, IN 46360-9222

Mailing address

800 Lincolnway Ste 301
La Porte, IN 46350-3439
Phone (219) 324-2229

Other identifiers 2

IdentifierTypeStateIssuer
DO1275OtherINRAILROAD PTAN
200000360MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1013177864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LINCOLNWAY STE 301",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503439",
            "telephone_number": "219-324-2229",
            "fax_number": "219-324-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 W 400 N",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609222",
            "telephone_number": "219-871-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENINGER MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "WENINGER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-324-2229",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01020206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "DO1275",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000360",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.