Herbert Weisenthal, D.O., P.L.L.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

5101005690 Issued in MI

Legal business name

HERBERT WEISENTHAL, D.O., P.L.L.C.

Practice address

29829 Telegraph Rd
Suite L-102
Southfield, MI 48034-1330

Phone

(248) 352-3790

Fax

(248) 352-9712

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Herbert Weisenthal, D.O.

Title

President

Phone

(248) 352-3790

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1023223955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29829 TELEGRAPH RD",
            "address_2": "SUITE L-102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341330",
            "telephone_number": "248-352-3790",
            "fax_number": "248-352-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29829 TELEGRAPH RD",
            "address_2": "SUITE L-102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341330",
            "telephone_number": "248-352-3790",
            "fax_number": "248-352-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT WEISENTHAL, D.O., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "WEISENTHAL",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-352-3790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101005690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102541",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.