Active NPI
Larry a Weinrauch MD PC
- Cardiovascular Disease Physician
- Watertown, MA
National Provider Identifier
1467663690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35819
- Legal business name
- LARRY A WEINRAUCH MD PC
- Practice address
- 521 Mount Auburn St
Suite 204
Watertown, MA 02472-4191 - Phone
- (617) 923-0800
- Fax
- (617) 926-5665
- NPI assigned
- May 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry A Weinrauch, MD
- Title
- President
- Phone
- (617) 923-0800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35819 | MA | Primary |
Addresses
Primary practice location
521 Mount Auburn St
Suite 204
Watertown, MA 02472-4191
Mailing address
521 Mount Auburn St
Suite 204
Watertown, MA 02472-4191
Phone (617) 923-0800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035819 | Other | MA | MASS LICENSE |
| 2033704 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
521 Mount Auburn St
Ste 204
Watertown, MA 02472
Phone (617) 923-0800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1467663690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 MOUNT AUBURN ST",
"address_2": "SUITE 204",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724191",
"telephone_number": "617-923-0800",
"fax_number": "617-926-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 MOUNT AUBURN ST",
"address_2": "SUITE 204",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724191",
"telephone_number": "617-923-0800",
"fax_number": "617-926-5665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY A WEINRAUCH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-28",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "WEINRAUCH",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-923-0800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "35819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS LICENSE",
"identifier": "035819",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2033704",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.