Active NPI
Paul E Wenig, DO
- Rheumatology Physician
- Farmington Hills, MI
National Provider Identifier
1205863404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 5101005677
- Practice address
- 28100 Grand River Ave
Suite 206
Farmington Hills, MI 48336-5967 - Phone
- (248) 471-1549
- Fax
- (248) 478-1827
- NPI assigned
- Jun 26, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 5101005677 | MI | Primary |
Addresses
Primary practice location
28100 Grand River Ave
Suite 206
Farmington Hills, MI 48336-5967
Mailing address
28100 Grand River Ave
Suite 206
Farmington Hills, MI 48336-5967
Phone (248) 471-1549
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125354 | Other | MI | CARE CHOICES |
| P44830 | Other | MI | BLUE CROSS |
| 4380700 | Other | MI | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Botsford General Hospital | Rheumatology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rheumatology Physician
- Farmington Hills, MI
- NPI 1972545150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205863404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28100 GRAND RIVER AVE",
"address_2": "SUITE 206",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365967",
"telephone_number": "248-471-1549",
"fax_number": "248-478-1827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28100 GRAND RIVER AVE",
"address_2": "SUITE 206",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365967",
"telephone_number": "248-471-1549",
"fax_number": "248-478-1827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENIG",
"first_name": "PAUL",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "5101005677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "125354",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "P44830",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4380700",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.