Organization Active NPI

Michael Wein MD PA

  • Multi-Specialty Clinic/Center
  • Vero Beach, FL
National Provider Identifier
1063728822
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
ME0066191 Issued in FL
Legal business name
MICHAEL WEIN MD PA
Practice address
3375 20TH St
Suite 140
Vero Beach, FL 32960-2427
Phone
(772) 299-7299
Fax
(772) 563-9191
NPI assigned
Aug 31, 2010
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Dr. Michael Wein, MDNPI 1336218650
Title
Ceo
Phone
(772) 299-7299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X ME0066191 FL Primary

Addresses

Primary practice location

3375 20TH St
Suite 140
Vero Beach, FL 32960-2427

Mailing address

3375 20TH St
Suite 140
Vero Beach, FL 32960-2427
Phone (772) 299-7299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101022000786 FL Part B Supplier - Clinic/Group Practice 3173716180 Receives reassigned benefits from 2 practitioners
Practice locations: Vero Beach, FL; Port Saint Lucie, FL

National Provider Directory

National Provider Directory

Locations

322 NW Bethany Dr
Port St Lucie, FL 34986

3375 20th St
Vero Beach, FL 32960
Phone (772) 567-0111

3375 20th St
Ste 140
Vero Beach, FL 32960
Phone (772) 299-7299

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1063728822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 20TH ST",
            "address_2": "SUITE 140",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602427",
            "telephone_number": "772-299-7299",
            "fax_number": "772-563-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 20TH ST",
            "address_2": "SUITE 140",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602427",
            "telephone_number": "772-299-7299",
            "fax_number": "772-563-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL WEIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "WEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-299-7299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "ME0066191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.