Organization Active NPI

Saul Weingarden MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Southfield, MI
National Provider Identifier
1588210397
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SAUL WEINGARDEN MD PLLC
Practice address
20307 W 12 Mile Rd Ste 104
Southfield, MI 48076-5407
Phone
(248) 353-3388
NPI assigned
Aug 16, 2019
Last updated
Aug 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Ms. Janis Beer
Title
Office Manager
Phone
(248) 353-3388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

20307 W 12 Mile Rd Ste 104
Southfield, MI 48076-5407

Mailing address

20307 W 12 Mile Rd Ste 104
Southfield, MI 48076-5407
Phone (248) 353-3388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190903000980 MI Part B Supplier - Clinic/Group Practice 7113256066 Receives reassigned benefits from 1 practitioner
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory
Tax ID family
Rehabilitation Medicine Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20307 W 12 Mile Rd
Ste 104
Southfield, MI 48076
Phone (248) 353-3388

Practitioners & affiliated clinicians

Practitioners 2

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": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1588210397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20307 W 12 MILE RD STE 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765407",
            "telephone_number": "248-353-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20307 W 12 MILE RD STE 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765407",
            "telephone_number": "248-353-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUL WEINGARDEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "BEER",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-353-3388",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.