Active NPI
Mark Alan Weiner, M.D.
- Neurological Surgery Physician
- Canton, OH
National Provider Identifier
1811946080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 35. 068607
- Practice address
- 2600 Tuscarawas St W
Ste. 520
Canton, OH 44708-4644 - Phone
- (330) 454-0702
- Fax
- (330) 454-0748
- NPI assigned
- May 8, 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 35. 068607 | OH | Primary |
Addresses
Primary practice location
2600 Tuscarawas St W
Ste. 520
Canton, OH 44708-4644
Mailing address
2600 Tuscarawas St W
Ste. 520
Canton, OH 44708-4644
Phone (330) 454-0702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0160070 | Medicaid | OH |
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 |
|---|---|---|---|
| 35. 068607 | OH | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1811946080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 TUSCARAWAS ST W",
"address_2": "STE. 520",
"city": "CANTON",
"state": "OH",
"postal_code": "447084644",
"telephone_number": "330-454-0702",
"fax_number": "330-454-0748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 TUSCARAWAS ST W",
"address_2": "STE. 520",
"city": "CANTON",
"state": "OH",
"postal_code": "447084644",
"telephone_number": "330-454-0702",
"fax_number": "330-454-0748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OH",
"license": "35. 068607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0160070",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.