MARK A WEINER (NPI# 1669590352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669590352 |
| Entity Type | Individual |
| Full Name | MARK A WEINER |
| Credential | MD |
| Practice Address |
5333 Mcauley Dr Rm 5011 Ypsilanti MI 48197-1003 |
| Mailing Address |
24 Frank Lloyd Wright Dr Lbby J2000 Ann Arbor MI 48105-9484 |
| Practice Telephone | 7346225016 |
| Practice Fax Number | 7346225017 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301067395 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
4301067395 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184643009 | Mark W Weiner | Counselor | 3108 N Parham Rd Ste 200a, Richmond, VA 23294-4420 | 2006-07-19 |
| 1831121250 | Mark Allan Weiner | Dentist | 2525 K St Ste 101, Sacramento, CA 95816-5114 | 2006-07-07 |
| 1427513092 | Mark S Weiner | Psychologist | 328 Amboy Ave, Metuchen, NJ 08840-2456 | 2019-02-07 |
| 1699797977 | Mark H Weiner | Specialist | 950 Nw 13th St, Boca Raton, FL 33486-2310 | 2006-07-24 |
| 1568499465 | Mark G Weiner | Internal Medicine | 3322 N Broad St, Philadelphia, PA 19140-5185 | 2006-06-27 |
| 1861446163 | Mark Weiner | Psychiatry & Neurology | 4 Frank Leary Way, Randolph, MA 02368-4504 | 2006-05-20 |
| 1811946080 | Mark Alan Weiner | Neurological Surgery | 2600 Tuscarawas St W, Ste. 520, Canton, OH 44708-4644 | 2006-05-08 |
| 1114901253 | Mark Aaron Weiner | Family Medicine | 3120 Glendale Ave, Family Medicine Suite, Toledo, OH 43614-5811 | 2005-12-02 |
| 1184616047 | Mark J Weiner | Ophthalmology | 1320 Oakside Dr, S202, Canton, GA 30114-2475 | 2005-08-17 |
| Street Address |
5333 MCAULEY DR RM 5011 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386624591 | Jaclyn Randel | Family Medicine | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2006-01-23 |
| 1023540853 | Brendan Sullivan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2017-03-30 |
| 1356793954 | Iha Health Services Corporation | Internal Medicine | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2016-07-07 |
| 1790076537 | Michael Francis | Physician Assistant | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2011-04-27 |
| 1487744512 | Sarah Cookinham | Internal Medicine | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356793954 | Iha Health Services Corporation | Internal Medicine | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2016-07-07 |
| 1730192899 | Pain Recovery Solutions, P.C. | Internal Medicine | 4870 W Clark Rd, Suite 201, Ypsilanti, MI 48197-1104 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013367473 | East & West Physicians PC | Internal Medicine | 20905 Greenfield Rd Ste 608, Southfield, MI 48075-5355 | 2016-06-16 |
| 1033445861 | Ayad M George, Pllc | Internal Medicine | 2132 Cedar St, Holt, MI 48842-1458 | 2009-10-29 |
| 1588821433 | West Michigan Addiction Consultants, PC | Internal Medicine | 3001 Fuller Ave Ne, Suite 1, Grand Rapids, MI 49505-3247 | 2008-05-19 |
| 1922108927 | Rudy Jerome Vervaeke | Internal Medicine | 21420 Harper Ave, Suite 2, Saint Clair Shores, MI 48080-3607 | 2006-09-22 |
| 1730727850 | Dearborn Pain Center Pllc | Internal Medicine | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2019-12-19 |
| 1063069359 | Faster Care Connor Creek, Pllc | Internal Medicine | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-08-21 |
| 1356869572 | America Recovery Center, Pllc | Internal Medicine | 20217 Ann Arbor Trl, Dearborn Heights, MI 48127-2692 | 2017-09-07 |
| 1770967226 | Newhorizon Center LLC | Internal Medicine | 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008-1999 | 2015-07-15 |
| 1942618228 | Changes | Internal Medicine | 19940 Conant St, Detroit, MI 48234-1494 | 2014-07-30 |
| 1033434253 | Elizabeth Bulat | Internal Medicine | 37595 7 Mile Rd, # 240, Livonia, MI 48152-1003 | 2010-03-30 |
| Find all providers with the same taxonomy | ||||
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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.