Active NPI
Lawrence I Weiner, M.D.
- Psychiatry Physician
- Hailey, ID
National Provider Identifier
1023230992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M7132
- Practice address
- 202 Indian Creek Rd
Hailey, ID 83333 - Phone
- (208) 622-2775
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M7132 | ID | Primary |
Addresses
Primary practice location
202 Indian Creek Rd
Hailey, ID 83333
Mailing address
PO Box 3845
Hailey, ID 83333
Phone (208) 622-2775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M7132 | Other | ID | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 5, 2016 through May 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7132 | ID | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1023230992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3845",
"city": "HAILEY",
"state": "ID",
"postal_code": "83333",
"telephone_number": "208-622-2775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 INDIAN CREEK RD",
"city": "HAILEY",
"state": "ID",
"postal_code": "83333",
"telephone_number": "208-622-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "LAWRENCE",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "M7132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "M7132",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hailey, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.