Active NPI
Gary Allen Weinberger, MD
- Pediatrics Physician
- Nicholasville, KY
National Provider Identifier
1669576823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 33102
- Practice address
- 610 N Main St
Nicholasville, KY 40356-1026 - Phone
- (859) 881-0533
- Fax
- (859) 881-0566
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 33102 | KY | Primary |
Addresses
Primary practice location
610 N Main St
Nicholasville, KY 40356-1026
Mailing address
610 N Main St
Nicholasville, KY 40356-1026
Phone (859) 881-0533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33102 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary Weinberger MD PSC | Pediatrics | Past | Accepting new patients |
| Leitchfield Pediatric Clinic P.S.C. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61385
- https://fhir4.healow.com/fhir/r4/GFBCAA/Endpoint/GFBCAA
Organizations & group practices 2
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.
-
dba Nicholasville Pediatrics
- Pediatrics Physician
- Nicholasville, KY
- NPI 1003228198
-
- Rural Health Clinic/Center
- Leitchfield, KY
- NPI 1558318543
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400803200000",
"number": "1669576823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 N MAIN ST",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403561026",
"telephone_number": "859-881-0533",
"fax_number": "859-881-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N MAIN ST",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403561026",
"telephone_number": "859-881-0533",
"fax_number": "859-881-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERGER",
"first_name": "GARY",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2014-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "33102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.