Active NPI
Wei Jeng Lin MD PC
- Nephrology Physician
- Detroit, MI
National Provider Identifier
1194053793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 034369
- Legal business name
- WEI JENG LIN MD PC
- Practice address
- 6001 W Outer Dr Suite 320
Detroit, MI 48235 - Phone
- (313) 341-0200
- Fax
- (248) 442-2041
- NPI assigned
- Nov 20, 2009
- 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
- Wei Jeng Lin, MD
- Title
- Owner
- Phone
- (313) 341-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 034369 | MI | Primary |
Addresses
Primary practice location
6001 W Outer Dr Suite 320
Detroit, MI 48235
Mailing address
6001 W Outer Dr Ste 320
Detroit, MI 48235-2626
Phone (313) 341-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1359967 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
6001 W Outer Dr
Ste 320
Detroit, MI 48235
Phone (313) 341-0200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258675200000",
"number": "1194053793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 W OUTER DR STE 320",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352626",
"telephone_number": "313-341-0200",
"fax_number": "248-442-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 W OUTER DR SUITE 320",
"city": "DETROIT",
"state": "MI",
"postal_code": "48235",
"telephone_number": "313-341-0200",
"fax_number": "248-442-2041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEI JENG LIN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-20",
"last_updated": "2009-11-20",
"status": "A",
"authorized_official_last_name": "LIN",
"authorized_official_first_name": "WEI JENG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-341-0200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "034369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1359967",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.