Active NPI
Carl P Weiner, MD
- Maternal & Fetal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 63942
- Practice address
- 500 W Thomas Rd Ste 700
Phoenix, AZ 85013-4295 - Phone
- (602) 406-7048
- Fax
- (602) 406-7650
- NPI assigned
- Jul 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | D0050832 | MD | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 63942 | AZ | Primary |
Addresses
Primary practice location
500 W Thomas Rd Ste 700
Phoenix, AZ 85013-4295
Mailing address
PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786
Other practice location 1
10214 N Tatum Blvd Ste A600
Phoenix, AZ 85028-4247
Phone (602) 406-1530
Other practice location 2
3477 S Mercy Rd Ste 108
Gilbert, AZ 85297-0440
Phone (480) 909-3789
Other practice location 3
485 S Dobson Rd Ste 101
Chandler, AZ 85224-5603
Phone (480) 728-5463
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 349451900 | Medicaid | MD | |
| S186 / 0067 | Other | MD | BLUECHOICE |
| LT 35 / 543699-01 | Other | MD | BC / BS OF MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, IN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Georgia School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 W Martin Luther King Blvd
Suite 1000
Chattanooga, TN 37402-2571
3245 Health Dr
Suite 100
Granger, IN 46530-1380
PO Box
Suite 11407
Birmingham, AL 35246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63942 | AZ | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Maternal & Fetal Medicine | Current | Accepting new patients |
| State of Mississippi - University of Mississippi Medical Center | Past | Accepting new patients | |
| University of MD Obstetrical and Gynecological Asso. PA | Past | Accepting new patients |
Locations
100 Navarre Pl
Ste 4410
South Bend, IN 46601
Phone (574) 647-1650
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Multi-Specialty Clinic/Center
- Bismarck, ND
- NPI 1811941172
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
- Maternal & Fetal Medicine Physician
- South Bend, IN
- NPI 1710939608
-
- Occupational Medicine Clinic/Center
- Dickinson, ND
- NPI 1669524351
-
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1144252990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1174553440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33269",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850673269",
"telephone_number": "602-406-4786",
"fax_number": "916-636-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD STE 700",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134295",
"telephone_number": "602-406-7048",
"fax_number": "602-406-7650"
}
],
"practiceLocations": [
{
"address_1": "10214 N Tatum Blvd Ste A600",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850284247",
"country_code": "US",
"telephone_number": "602-406-1530",
"fax_number": "602-406-1539",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3477 S Mercy Rd Ste 108",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852970440",
"country_code": "US",
"telephone_number": "480-909-3789",
"fax_number": "480-728-8891",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "485 S Dobson Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852245603",
"country_code": "US",
"telephone_number": "480-728-5463",
"fax_number": "480-728-5449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEINER",
"first_name": "CARL",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MD",
"license": "D0050832",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "AZ",
"license": "63942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "349451900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHOICE",
"identifier": "S186 / 0067",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC / BS OF MD",
"identifier": "LT 35 / 543699-01",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.
- 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.