DR. MATTHEW JEREMY WEINER (NPI# 1053383463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053383463 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JEREMY WEINER |
| Credential | M.D. |
| Practice Address |
6422 E Speedway Blvd Ste 150 Tucson AZ 85710-1149 |
| Practice Telephone | 5203183061 |
| Practice Fax Number | 5203183061 |
| Mailing Telephone | 5203183004 |
| Mailing Fax Number | 5203183061 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 57146 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM/BCN | 020F392060 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689071425 | Matthew Weiner | Counselor | 93 York Rd, Jenkintown, PA 19046-3925 | 2014-11-21 |
| Street Address |
6422 E SPEEDWAY BLVD STE 150 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609853951 | Sarah Elizabeth Ducharme | Surgery | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2005-12-28 |
| 1003295643 | David Charles Hatch Jr. | Podiatrist | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710 | 2015-05-28 |
| 1417345547 | Deidre Schodroski | Nurse Practitioner | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2014-12-23 |
| 1104233071 | David J Lew | Surgery | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2014-07-12 |
| 1982022968 | Jayanth Manoharan | Surgery | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2014-04-07 |
| 1215376660 | Federico Javier Yanquez | Surgery | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2013-06-19 |
| 1326210071 | Layla Corral Lucas | Surgery | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2008-04-01 |
| 1184771107 | Yvonne Marie Carter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710-1149 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365702 | Ducharme General Surgery, Pllc | Surgery | 1200 N El Dorado Pl Ste E-520, Tucson, AZ 85715-4637 | 2020-10-27 |
| 1588285910 | Casey Leonard Charlton | Surgery | 1300 E Fort Lowell Rd, Tucson, AZ 85719-2222 | 2020-04-27 |
| 1669987566 | Robert E Maxam | Surgery | 3831 E Chico Ln, Tucson, AZ 85739-9726 | 2017-12-13 |
| 1932553708 | David Bruce Powell | Surgery | General Surgery Residency Program, 1501 N. Campbell Ave, Tucson, AZ 85724-0001 | 2016-04-19 |
| 1245643691 | John Granger | Surgery | 6181 W Bandelier Ct, Tucson, AZ 85742-8763 | 2014-06-03 |
| 1598101347 | Thomas Edmund Obrien | Surgery | 5240 Circulo Sobrio, Tucson, AZ 85718 | 2013-05-21 |
| 1427305770 | David Anaise | Surgery | 177 N Church Ave Ste 200, Tucson, AZ 85701-1153 | 2012-08-06 |
| 1750669024 | Matthew Mobily | Surgery | 4236 N Rio Cancion Apt 142, Tucson, AZ 85718-7149 | 2011-08-03 |
| 1558664656 | Seneca Lawrence Erman | Surgery | 3394 N Wood Violet Ct, Tucson, AZ 85750-3147 | 2010-12-10 |
| 1053622548 | Bradley Eleazar Neuman | Surgery | 4343 E Fortaleza St, Tucson, AZ 85712-1112 | 2010-06-29 |
| Find all providers in TUCSON | ||||
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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.