Active NPI
Thomas A Weimert, MD
- Otolaryngology Physician
- Ypsilanti, MI
National Provider Identifier
1740285378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- TW034716
- Practice address
- 5333 McAuley Dr
RM 2017
Ypsilanti, MI 48197-1096 - Phone
- (734) 434-3200
- Fax
- (734) 434-3209
- NPI assigned
- Jun 20, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | TW034716 | MI | Primary |
Addresses
Primary practice location
5333 McAuley Dr
RM 2017
Ypsilanti, MI 48197-1096
Mailing address
5333 McAuley Dr
RM 2017
Ypsilanti, MI 48197-1096
Phone (734) 434-3200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1315167 | Medicaid | MI | |
| B6940 | Other | MI | MCARE PROVIDER ID |
| TW034716 | Other | MI | MI LICENSE NUMBER |
| 103820 | Other | MI | CARE CHOICE PROVIDER ID |
| 040004232 | Other | MI | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TW034716 | MI | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1740285378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR",
"address_2": "RM 2017",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971096",
"telephone_number": "734-434-3200",
"fax_number": "734-434-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR",
"address_2": "RM 2017",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971096",
"telephone_number": "734-434-3200",
"fax_number": "734-434-3209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIMERT",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MI",
"license": "TW034716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1315167",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE PROVIDER ID",
"identifier": "B6940",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI LICENSE NUMBER",
"identifier": "TW034716",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICE PROVIDER ID",
"identifier": "103820",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040004232",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.