STANISLAV WEINER (NPI# 1003801705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003801705 |
| Entity Type | Individual |
| Full Name | STANISLAV WEINER |
| Credential | MD |
| Practice Address |
520 Douglas Blvd Tyler TX 75702-8307 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9036067525 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2016-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
L7248 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
L7248 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | UNITED HEALTHCARE | 232883303 | 01 |
| TX | BCBS | 8J1480 | 01 |
| TX | AETNA | 7881495 | 01 |
| TX | BCBS TRINITY | 8V5492 | 01 |
| TX | TRICARE | 75-2616977007 | 01 |
| TX | 158491401 | 05 | |
| TX | 158491404 | 05 |
| Street Address |
520 DOUGLAS BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75702-8307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831197342 | Jean Rene Yates-halbert | Physician Assistant | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2005-07-08 |
| 1316555220 | Sherry Mathew | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2020-07-16 |
| 1407487549 | Rosie M Niebuhr | Social Worker | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2020-01-28 |
| 1366899288 | Jeta Laurie Bowman | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702 | 2016-05-20 |
| 1679944946 | Laura Beth Sheets | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2015-10-13 |
| 1134596554 | Barakha Yadav Silvia | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2015-09-02 |
| 1184009565 | Alyssa Laurich | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2015-07-27 |
| 1285030981 | Kerri Martin | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2014-11-07 |
| 1710395819 | Maria Diaz | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2014-08-01 |
| 1487072120 | Katie Storrs | Physician Assistant | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2014-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215283841 | Cvc Cardiac Cath Lab Pllc | Internal Medicine | 2401 Sse Loop 323, Tyler, TX 75701-6027 | 2012-08-01 |
| 1447212303 | Cardiovascular Associates of East Texas Pa | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2006-04-05 |
| 1811987654 | Alexandre A Petrakian | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949113 | Arrhythmia Care Center Pllc | Internal Medicine | 3501 Link Valley Drive Unit 305, Houston, TX 77025 | 2020-07-07 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1548813207 | Cardiac Arrhythmia Care, Pllc | Internal Medicine | 9440 Bellaire Blvd Ste 206, Houston, TX 77036-4557 | 2019-07-22 |
| 1528527983 | Brazos Ep Pllc | Internal Medicine | 1721 Birmingham Dr Ste 202, College Station, TX 77845-4081 | 2019-03-15 |
| 1245726108 | Pds Turnkey LLC | Internal Medicine | 18320 Michaelangelo Dr Apt Suite, Dallas, TX 75287-3334 | 2018-07-03 |
| 1356846307 | Personal Health Assessment | Internal Medicine | 18320 Michael Angelo Drive, Dallas, TX 75287 | 2018-03-29 |
| 1689028334 | Billy Dimas Md Pllc | Internal Medicine | 5610 Northmoor Dr, Dallas, TX 75230-2644 | 2016-04-19 |
| 1639555014 | Kamran A Rizvi Md Pa | Internal Medicine | 5713 Pantheon Ct, Plano, TX 75024-4569 | 2015-08-07 |
| 1104164672 | Zarzamora Medical Associates | Internal Medicine | 626 S Zarzamora St, San Antonio, TX 78207-5254 | 2013-01-17 |
| 1164734059 | Cardiovascular Specialists of Texas | Internal Medicine | 206 Cr 340-a, Bldg. 4, Ste. A, Burnet, TX 78611 | 2010-07-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.