Active NPI
Ronald Weintraub, M.D.
- Anesthesiology Physician
- Groves, TX
National Provider Identifier
1114004686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- J2998
- Practice address
- 5500 39TH St
Groves, TX 77619-2905 - Phone
- (409) 962-5733
- NPI assigned
- Nov 1, 2006
- Last updated
- Aug 20, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | J2998 | TX | Primary |
Addresses
Primary practice location
5500 39TH St
Groves, TX 77619-2905
Mailing address
9441 LBJ Fwy Ste 400
Dallas, TX 75243-4500
Phone (972) 664-6963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2998 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shreveport Anesthesia Services | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Groves, TX
- NPI 1164572087
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1861554297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1114004686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9441 LBJ FWY STE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752434500",
"telephone_number": "972-664-6963",
"fax_number": "770-237-4731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 39TH ST",
"city": "GROVES",
"state": "TX",
"postal_code": "776192905",
"telephone_number": "409-962-5733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINTRAUB",
"first_name": "RONALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "J2998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Groves, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.