Active NPI
Laurence M Weinberg, M.D.
- Gastroenterology Physician
- Santa Fe, NM
National Provider Identifier
1154380806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD20090086
- Practice address
- 1691 Galisteo St
Suite C
Santa Fe, NM 87505-4780 - Phone
- (505) 983-5631
- Fax
- (505) 982-5605
- NPI assigned
- Mar 21, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD20090086 | NM | Primary |
Addresses
Primary practice location
1691 Galisteo St
Suite C
Santa Fe, NM 87505-4780
Mailing address
1691 Galisteo Street
Suite C
Santa Fe, NM 87505
Phone (505) 983-5631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010652890003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20090086 | NM | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NNM Gastroenterology Associates PA | Current | Accepting new patients | |
| West Chester Gi Associates PC | Gastroenterology | Past | Accepting new patients |
| West Chester Gi Associates, PC | Gastroenterology | Past | Accepting new patients |
Locations
1691 Galisteo St
Ste C
Santa Fe, NM 87505
Phone (505) 983-5631
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Santa Fe, NM
- NPI 1699881417
-
- Gastroenterology Physician
- Exton, PA
- NPI 1366631822
-
- Gastroenterology Physician
- Kennett Square, PA
- NPI 1538283908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336435200000",
"number": "1154380806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1691 GALISTEO STREET",
"address_2": "SUITE C",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87505",
"telephone_number": "505-983-5631",
"fax_number": "505-982-5605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1691 GALISTEO ST",
"address_2": "SUITE C",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054780",
"telephone_number": "505-983-5631",
"fax_number": "505-982-5605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "LAURENCE",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2012-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NM",
"license": "MD20090086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010652890003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.