Organization Active NPI

Jeffrey L & Charles J Weingarten MD PC

  • Urology Physician
  • Rochester Hills, MI
National Provider Identifier
1093903643
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
JW402858 Issued in MI
Legal business name
JEFFREY L & CHARLES J WEINGARTEN MD PC
Practice address
1135 W University Dr
Suite 210
Rochester Hills, MI 48307-1871
Phone
(248) 650-4660
Fax
(248) 650-4663
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Karen Ann Mattice
Title
Office Manager
Phone
(248) 650-4660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X JW402858 MI Primary

Addresses

Primary practice location

1135 W University Dr
Suite 210
Rochester Hills, MI 48307-1871

Mailing address

1135 W University Dr
Suite 210
Rochester Hills, MI 48307-1871
Phone (248) 650-4660

Other identifiers 1

IdentifierTypeStateIssuer
102823213MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1093903643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR",
            "address_2": "SUITE 210",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071871",
            "telephone_number": "248-650-4660",
            "fax_number": "248-650-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR",
            "address_2": "SUITE 210",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071871",
            "telephone_number": "248-650-4660",
            "fax_number": "248-650-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L & CHARLES J WEINGARTEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "MATTICE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-650-4660"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MI",
            "license": "JW402858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102823213",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.