Active NPI
Jonathan C Weinrach, M.D.
- Plastic and Reconstructive Surgery Physician
- Scottsdale, AZ
National Provider Identifier
1982674743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 32958
- Practice address
- 10229 N 92ND St
Suite 102
Scottsdale, AZ 85258-4562 - Phone
- (480) 634-6014
- Fax
- (480) 393-7246
- NPI assigned
- Jan 25, 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 32958 | AZ | Primary |
Addresses
Primary practice location
10229 N 92ND St
Suite 102
Scottsdale, AZ 85258-4562
Mailing address
10229 N 92ND St
Suite 102
Scottsdale, AZ 85258-4562
Phone (480) 634-6014
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007834 | Medicaid | AZ | |
| AZ0306350 | Other | AZ | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 31, 2022 through Oct 31, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32958 | AZ | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1982674743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10229 N 92ND ST",
"address_2": "SUITE 102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584562",
"telephone_number": "480-634-6014",
"fax_number": "480-393-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10229 N 92ND ST",
"address_2": "SUITE 102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584562",
"telephone_number": "480-634-6014",
"fax_number": "480-393-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINRACH",
"first_name": "JONATHAN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "AZ",
"license": "32958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007834",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0306350",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.