Jerrold H Weinberg, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20351071251 Issued in MI

Practice address

5053 Pheasant CV
West Bloomfield, MI 48323-2082

Phone

(248) 884-4071

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jweinberg140111@direct.hfhs.org

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.

• Jerrold H. Weinberg M.D., PLC

  • Gynecology Physician
  • Farmington Hills, MI
  • NPI 1699708057
  NPD (past) Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1639104540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 PHEASANT CV",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232082",
            "telephone_number": "248-884-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 PHEASANT CV",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232082",
            "telephone_number": "248-884-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "JERROLD",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "20351071251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4507698",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• We Kare Caregivers, LLC. (We Kare Caregivers)
• Richard Carlton Weaver, MA, LPC, NCC, CBIS,
• Megan Ashley Webb, CRNA
• Jill Wegner, ACNP
• Alison Yasuyo Weidel, PA
• Rebecca Weiner, DPT
• Ethan Weinfeld
• Jeffrey L. Weinfeld, D.D.S.
• Mark G. Weingarden, M.D.
• Robb Matthew Weir, M.D.

• Obstetrics & Gynecology Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.