Active NPI
Jeffrey L & Charles J Weingarten MD PC
- Urology Physician
- Rochester Hills, MI
National Provider Identifier
1093903643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- JW402858
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102823213 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Detroit, MI
- NPI 1568466258
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.