Jeremy Paul Weiner, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D0032984 Issued in MD

Practice address

5601 Loch Raven Blvd
Pob #100
Baltimore, MD 21239-2905

Phone

(410) 323-9210

Fax

(410) 323-9525

NPI assigned

Aug 23, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment NPD
• GS Surgical Services, LLC

  • Surgery Physician
  • Baltimore, MD
  • NPI 1669487369
  NPD (past) Authorized official
• Medstar Union Memorial Physicians LLC

  dba Mumhp LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1801219217
  NPD
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053304329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 VELVET RIDGE DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173030",
            "telephone_number": "410-323-9210",
            "fax_number": "410-323-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "POB #100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "410-323-9210",
            "fax_number": "410-323-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "JEREMY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0032984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9355006 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine E. Weiner, M.D.
• Elizabeth Eve Weiner, LCPC
• George P Weiner, M.D.
• Ian M Weiner, MD
• Jay S Weiner, M.D.
• Maxwell Ethan Weiner, PA-C
• Miriam Weiner
• Shoshana Jo Weiner
• Stephen A Weiner, DDS
• Jon Weingart, M.D.

• Surgery Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.