NPIMap

Organization Active NPI

David S. Weingarden, M.D. & Associates, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Clinton Township, MI
National Provider Identifier
1275500134
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DAVID S. WEINGARDEN, M.D. & ASSOCIATES, P.C.
Practice address
43555 Dalcoma Dr
Suite 4
Clinton Township, MI 48038-6310
Phone
(586) 228-2882
Fax
(586) 463-7152
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Dr. David S Weingarden, M.D.NPI 1851394654
Title
President
Phone
(586) 228-2882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X Primary
Pediatric Rehabilitation Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P0010X
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X

Addresses

Primary practice location

43555 Dalcoma Dr
Suite 4
Clinton Township, MI 48038-6310

Mailing address

43555 Dalcoma Dr
Suite 4
Clinton Township, MI 48038-6310
Phone (586) 228-2882

Other identifiers 1

IdentifierTypeStateIssuer
250E01065OtherMIBCBS COMMON PROVIDER CODE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040715000271 MI Part B Supplier - Clinic/Group Practice 8426037342 Receives reassigned benefits from 8 practitioners
Practice locations: Clinton TWP, MI

National Provider Directory

National Provider Directory

Locations

43555 Dalcoma Dr
Clinton Twp, MI 48038
Phone (586) 727-7209

4949 Coolidge Hwy
Ste A
Royal Oak, MI 48073
Phone (248) 655-3103

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1275500134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43555 DALCOMA DR",
            "address_2": "SUITE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386310",
            "telephone_number": "586-228-2882",
            "fax_number": "586-463-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43555 DALCOMA DR",
            "address_2": "SUITE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386310",
            "telephone_number": "586-228-2882",
            "fax_number": "586-463-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. WEINGARDEN, M.D. & ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "WEINGARDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-228-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS COMMON PROVIDER CODE",
            "identifier": "250E01065",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.