Organization Active NPI

Gary B Weiner MD Chartered

  • Ophthalmology Physician
  • Salina, KS
National Provider Identifier
1497856223
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GARY B WEINER MD CHARTERED
Practice address
1410 E Iron Ave
Suite 5
Salina, KS 67401-3285
Phone
(785) 825-7271
Fax
(785) 825-0957
NPI assigned
Sep 26, 2006
Last updated
Jan 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Dr. Gary B Weiner, M.D.NPI 1336143213
Title
President
Phone
(785) 825-7271

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1410 E Iron Ave
Suite 5
Salina, KS 67401-3285

Mailing address

1410 E Iron Ave
Suite 5
Salina, KS 67401-3285
Phone (785) 825-7271

Other identifiers 1

IdentifierTypeStateIssuer
0000016672OtherKSBCBS OF KS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050228000762 KS Part B Supplier - Clinic/Group Practice 8527011790 Receives reassigned benefits from 3 practitioners
Practice locations: Abilene, KS; Junction City, KS; Salina, KS

National Provider Directory

National Provider Directory

Locations

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

1410 E Iron Ave
Ste 5
Salina, KS 67401
Phone (785) 825-7271

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1497856223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 E IRON AVE",
            "address_2": "SUITE 5",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013285",
            "telephone_number": "785-825-7271",
            "fax_number": "785-825-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E IRON AVE",
            "address_2": "SUITE 5",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013285",
            "telephone_number": "785-825-7271",
            "fax_number": "785-825-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY B WEINER MD CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-825-7271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "0000016672",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.