NPIMap

Organization Active NPI

Harold Weiss MD&Mark Haimann MD&Joel Miller MD&Susan Malinowski MD

Doing business as Retina Consultants of Michigan, PLC

  • Ophthalmology Physician
  • Southfield, MI
National Provider Identifier
1114099835
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
HAROLD WEISS MD&MARK HAIMANN MD&JOEL MILLER MD&SUSAN MALINOWSKI MD
Doing business as
Retina Consultants of Michigan, PLC
Practice address
29201 Telegraph Rd
Suite 606
Southfield, MI 48034-1331
Phone
(248) 356-8610
Fax
(248) 356-6406
NPI assigned
Nov 15, 2006
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Harold Weiss, MDNPI 1043240559
Title
Physician
Phone
(248) 356-5034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

29201 Telegraph Rd
Suite 606
Southfield, MI 48034-1331

Mailing address

29201 Telegraph Rd
Suite 606
Southfield, MI 48034-1331
Phone (248) 356-8610

Other identifiers 5

IdentifierTypeStateIssuer
4151694MedicaidMI
1439727MedicaidMI
4549310MedicaidMI
2598450MedicaidMI
1532688MedicaidMI

Other names 1

  • RETINA CONSULTANTS OF MICHIGAN, PLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080721000320 MI Part B Supplier - Clinic/Group Practice 5395818629 Receives reassigned benefits from 7 practitioners
Practice locations: Warren, MI; Southfield, MI; Shelby Township, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2027126Retina Consultants of Michigan29201 Telegraph Road Suite 606, Southfield, MI 48034Certificate of waiverJul 18, 2027

National Provider Directory

National Provider Directory

Locations

29201 Telegraph Rd
Ste 606
Southfield, MI 48034
Phone (248) 356-8610

27301 Schoenherr Rd
Ste 101
Warren, MI 48088
Phone (586) 756-3800

Practitioners & affiliated clinicians

Practitioners 9

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1114099835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE 606",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-356-8610",
            "fax_number": "248-356-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE 606",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-356-8610",
            "fax_number": "248-356-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD WEISS MD&MARK HAIMANN MD&JOEL MILLER MD&SUSAN MALINOWSKI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-356-5034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4151694",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1439727",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4549310",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2598450",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532688",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RETINA CONSULTANTS OF MICHIGAN, PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.