Tucson Weight Loss Surgery

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

TUCSON WEIGHT LOSS SURGERY

Practice address

1712 W Anklam Rd Ste 101
Tucson, AZ 85745-2660

Phone

(520) 207-2384

NPI assigned

Oct 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew Weiner, MDNPI 1053383463

Title

Owner

Phone

(248) 835-2997

Specialties & licenses 7

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guillermo Higa Sansone, M.D.

  • Surgery Physician
  • Tucson, AZ
  • NPI 1871763540
  Medicare reassignment Care Compare group NPD
• Billi Jo Koepke, RNFA, FNP-C

  • Registered Nurse First Assistant
  • Tucson, AZ
  • NPI 1316314420

  Family

  Medicare reassignment Care Compare group NPD
• Jenifer Trefois Seidner

  • Nurse Practitioner
  • Tucson, AZ
  • NPI 1801664008

  Family

  Medicare reassignment Care Compare group NPD
• Matthew Jeremy Weiner, MD

  • Surgery Physician
  • Tucson, AZ
  • NPI 1053383463
  Medicare reassignment NPD Authorized official
• Bether Rohrbacker Gerber, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1275897365
  Medicare reassignment NPD
• Anali Martinez, RD

  • Registered Dietitian
  • Tucson, AZ
  • NPI 1326873589

  Dietitian, Registered

  Medicare reassignment NPD
• Deidre E Schodroski, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1417345547
  Medicare reassignment NPD
• Kimberly K Merrill-McNurlin, PA-C

  • Medical Physician Assistant
  • Tucson, AZ
  • NPI 1710944970
  Medicare reassignment
• Julie Carmen Moreau, APRN

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1407132665

  Critical Care Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1265149488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 W ANKLAM RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 W ANKLAM RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452660",
            "telephone_number": "520-207-2384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5155 E Farness Dr Ste 111A",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122158",
            "country_code": "US",
            "telephone_number": "520-420-1000",
            "fax_number": "520-420-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TUCSON WEIGHT LOSS SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-835-2997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@twls.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "1712 W Anklam Rd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857452660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Tucsonhousecalls
• Alba Tudor
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• Ajay Tuli, MD

• Surgery Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.