NPIMap

Individual provider Active NPI

Jeremy Saul Weinberger, MD

  • Surgery Physician
  • Conway, SC
National Provider Identifier
1508820291
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
91639 Issued in SC
Practice address
2361 Cypress Cir
Conway, SC 29526-8921
Phone
(843) 347-7291
Fax
(843) 347-0139
NPI assigned
Apr 12, 2006
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 91639 SC Primary
Surgery Physician 208600000X ME 88021 FL

Addresses

Primary practice location

2361 Cypress Cir
Conway, SC 29526-8921

Mailing address

300 Singleton Ridge Rd
Attention PNS Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946

Other practice location 1

1223 Gateway Dr Ste 2B
Melbourne, FL 32901-2607
Phone (321) 725-4500 ext. 7470

Other practice location 2

8353 SW 124th St
Suite 206
Miami, FL 33156-5851
Phone (305) 279-9210

Other practice location 3

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7111

Other identifiers 1

IdentifierTypeStateIssuer
916398MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312000375 SC Practitioner - General Surgery 8921080912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

2361 Cypress Cir
Conway, SC 29526-8921
Phone (843) 347-7291

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.78 of 100Reported as group
Quality
55.48
Improvement activities
0
Cost
74.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 88021FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Conway Hospital, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Robert Marriott Medical Corp Surgery Past Accepting new patients
Conway Hospital, Inc. Past Accepting new patients

Locations

2361 Cypress Cir
Conway, SC 29526
Phone (843) 234-8600

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1508820291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTENTION PNS CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 CYPRESS CIR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268921",
            "telephone_number": "843-347-7291",
            "fax_number": "843-347-0139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-725-4500 x7470",
            "fax_number": "321-676-9731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8353 SW 124th St",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331565851",
            "country_code": "US",
            "telephone_number": "305-279-9210",
            "fax_number": "305-668-9210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Singleton Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295269142",
            "country_code": "US",
            "telephone_number": "843-347-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINBERGER",
        "first_name": "JEREMY",
        "middle_name": "SAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "91639",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 88021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "916398",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.