Active NPI
Richard Alan Weintraub, MD FACC
- Cardiovascular Disease Physician
- Greensboro, NC
National Provider Identifier
1023116647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 21134
- Practice address
- 3200 Northline Ave
Suite 250
Greensboro, NC 27408-7616 - Phone
- (336) 273-7900
- Fax
- (336) 273-8147
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 21134 | NC | Primary |
Addresses
Primary practice location
3200 Northline Ave
Suite 250
Greensboro, NC 27408-7616
Mailing address
3200 Northline Ave
Suite 250
Greensboro, NC 27408-7616
Phone (336) 273-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11525 | Other | NC | BCBS NC |
| 8911525 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21134 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1023116647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 NORTHLINE AVE",
"address_2": "SUITE 250",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087616",
"telephone_number": "336-273-7900",
"fax_number": "336-273-8147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 NORTHLINE AVE",
"address_2": "SUITE 250",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087616",
"telephone_number": "336-273-7900",
"fax_number": "336-273-8147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINTRAUB",
"first_name": "RICHARD",
"middle_name": "ALAN",
"credential": "MD FACC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "21134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "11525",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8911525",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.