Active NPI
Gerald Stanley Weinstein, M.D.
- Vascular Surgery Physician
- Santa Fe, NM
National Provider Identifier
1477552982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 2001121
- Practice address
- 1631 Hospital Dr
Suite 240
Santa Fe, NM 87505-4728 - Phone
- (505) 913-3975
- Fax
- (505) 946-8001
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 2001121 | NM | Primary |
| Vascular Surgery Physician | 2086S0129X | MD043777L | PA |
Addresses
Primary practice location
1631 Hospital Dr
Suite 240
Santa Fe, NM 87505-4728
Mailing address
1631 Hospital Dr
Suite 240
Santa Fe, NM 87505-4728
Phone (505) 913-3975
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012356470006 | Medicaid | PA | |
| A6265 | Medicaid | NM | |
| NM009337 | Other | NM | BCBS OF NM |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD011057E | PA | MD | Diagnostic Ultrasound Physician |
| MD043777L | PA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Community Medcine Inc | Past | Accepting new patients | |
| Faith Regional Physician Services, LLC | Past | Accepting new patients | |
| Faith Regional Physician Services, LLC | Past | Accepting new patients | |
| New Mexico Cardiovascular Associates, PC | Vascular Surgery | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular Surgery Physician
- Las Cruces, NM
- NPI 1881719748
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1265489157
-
- Anesthesiology Physician
- Norfolk, NE
- NPI 1275074577
-
- Family Medicine Physician
- Hermitage, PA
- NPI 1023806676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1477552982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 HOSPITAL DR",
"address_2": "SUITE 240",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054728",
"telephone_number": "505-913-3975",
"fax_number": "505-946-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 HOSPITAL DR",
"address_2": "SUITE 240",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054728",
"telephone_number": "505-913-3975",
"fax_number": "505-946-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "GERALD",
"middle_name": "STANLEY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NM",
"license": "2001121",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD043777L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012356470006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A6265",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NM",
"identifier": "NM009337",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.