Organization Active NPI

Weinberg Gastrointestinal Associates, PLLC

  • Gastroenterology Physician
  • Gilbert, AZ
National Provider Identifier
1376813121
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4699 Issued in AZ
Legal business name
WEINBERG GASTROINTESTINAL ASSOCIATES, PLLC
Practice address
4915 E. Baseline Rd.
#126
Gilbert, AZ 85234
Phone
(480) 745-3690
Fax
(480) 345-3697
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Andrew Weinberg, MD
Title
Proprietor
Phone
(480) 745-3690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 4699 AZ Primary

Addresses

Primary practice location

4915 E. Baseline Rd.
#126
Gilbert, AZ 85234

Mailing address

10401 E McDowell Mountain Ranch Rd
#2-352
Scottsdale, AZ 85255-8698
Phone (480) 745-3690

Other identifiers 1

IdentifierTypeStateIssuer
263066MedicaidAZ

National Provider Directory

National Provider Directory

Locations

10401 E McDowell Mtn Ranch Rd
#2352
Scottsdale, AZ 85255

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1376813121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 E MCDOWELL MOUNTAIN RANCH RD",
            "address_2": "#2-352",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558698",
            "telephone_number": "480-745-3690",
            "fax_number": "480-745-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E. BASELINE RD.",
            "address_2": "#126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-745-3690",
            "fax_number": "480-345-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEINBERG GASTROINTESTINAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "480-745-3690",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "4699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263066",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.