MARK J WEINER (NPI# 1184616047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184616047 |
| Entity Type | Individual |
| Full Name | MARK J WEINER |
| Credential | M.D. |
| Practice Address |
1320 Oakside Dr S202 Canton GA 30114-2475 |
| Practice Telephone | 7707204041 |
| Practice Fax Number | 7704794857 |
| Mailing Telephone | 7707204041 |
| Mailing Fax Number | 7704794857 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2016-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 33748 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | TAX ID | 581937175 | 01 |
| GA | RAILROAD MEDICARE | 180010817 | 01 |
| GA | 000439348B | 05 |
| 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 |
| 1669590352 | Mark A Weiner | Internal Medicine | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2007-03-27 |
| 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 |
| Street Address |
1320 OAKSIDE DR S202 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252861 | Barry Neil Straus | Anesthesiology | 1320 Oakside Dr, Suite 203, Canton, GA 30114-2475 | 2005-08-15 |
| 1033513981 | Weiner Eye Center, LLC | Ophthalmology | 1320 Oakside Dr, Suite 202, Canton, GA 30114-2475 | 2014-10-21 |
| 1871649962 | Weiner Eye Center, LLC | Ophthalmology | 1320 Oakside Dr, Suite 202, Canton, GA 30114-2475 | 2007-01-25 |
| 1326137100 | North Georgia Pain Clinic | Pain Medicine | 1320 Oakside Dr, Suite 203, Canton, GA 30114-2475 | 2006-10-12 |
| 1689785073 | Peter Seth Morrison | Specialist | 1320 Oakside Dr, Suite 203, Canton, GA 30114-2475 | 2006-08-31 |
| 1679575005 | Efrim Cassius Moore | Anesthesiology | 1320 Oakside Dr, Suite 203, Canton, GA 30114-2475 | 2005-08-15 |
| 1053313437 | Murugiah R Mani | Anesthesiology | 1320 Oakside Dr, Suite 203, Canton, GA 30114-2475 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609808146 | Nigel H. Timothy | Ophthalmology | 95 Washington Street, Suite 592, Village Shoppes, Canton, MA 02021 | 2006-07-07 |
| 1679515282 | Philip C Roholt | Ophthalmology | 5890 Mayfair Rd, Canton, OH 44720-1547 | 2006-06-11 |
| 1417923657 | Cameron Campbell Johnson | Ophthalmology | 201 Kimberly Way Ste 106, Canton, GA 30114-8009 | 2006-02-27 |
| 1699754606 | Arnold F Nothnagel | Ophthalmology | 4690 Munson St Nw, Canton, OH 44718-3636 | 2006-01-10 |
| 1356337448 | William Parker Marks Jr. | Ophthalmology | 125 Oakside Ct, Suite 102, Canton, GA 30114-2498 | 2005-09-23 |
| 1386643104 | Paul W Turgeon | Ophthalmology | 800 Mckinley Ave Nw, Canton, OH 44703-2463 | 2005-07-14 |
| 1104824614 | Dennis Z Weber | Ophthalmology | 8538 N Canton Center Rd, Canton, MI 48187-1310 | 2005-07-08 |
| 1528061876 | Joseph James Fammartino | Ophthalmology | 4676 Douglas Cir Nw, Canton, OH 44718-3619 | 2005-05-31 |
| 1588667752 | Keith Andrew Kobet | Ophthalmology | 7949 N Canton Center Rd, Canton, MI 48187-1533 | 2005-05-23 |
| 1861887473 | Karan Hiten Patel | Ophthalmology | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2015-03-31 |
| Find all providers in CANTON | ||||
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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.