Organization Active NPI

Wei Jeng Lin MD PC

  • Nephrology Physician
  • Detroit, MI
National Provider Identifier
1194053793
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
034369 Issued in MI
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

Updated by the provider on Nov 20, 2009

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1359967MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.