Active NPI
Martin H Weinrauch, M.D.
- Specialist
- Fayetteville, NC
National Provider Identifier
1548211337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9700802
- Practice address
- 2850 Village Dr
Suite 104
Fayetteville, NC 28304-3864 - Phone
- (910) 483-4687
- Fax
- (910) 483-4968
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9700802 | NC | Primary |
Addresses
Primary practice location
2850 Village Dr
Suite 104
Fayetteville, NC 28304-3864
Mailing address
2850 Village Dr
Suite 104
Fayetteville, NC 28304-3864
Phone (910) 483-4687
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11579 | Other | NC | BLUE SHIELD BLUE CROSS |
| 891096A | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 30, 2015 through Dec 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9700802 | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Weinrauch P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Prescribing (Medical) Psychologist
- Fayetteville, NC
- NPI 1871797415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1548211337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 VILLAGE DR",
"address_2": "SUITE 104",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043864",
"telephone_number": "910-483-4687",
"fax_number": "910-483-4968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 VILLAGE DR",
"address_2": "SUITE 104",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043864",
"telephone_number": "910-483-4687",
"fax_number": "910-483-4968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINRAUCH",
"first_name": "MARTIN",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "9700802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD BLUE CROSS",
"identifier": "11579",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891096A",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.