SAMUEL JESSE WEINBERG MD
NPI 1558913558
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Samuel Weinberg's NPI number?

The NPI number for Samuel Weinberg is 1558913558. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Q: What is Samuel Weinberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Weinberg was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2019

2799 W GRAND BLVD, DETROIT, MI 48202(313) 874-5378 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2021, Jul 11, 2019 (2 updates tracked since 2019).

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About Samuel Jesse Weinberg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL JESSE WEINBERG MD (NPI 1558913558) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351044708) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1558913558

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL JESSE WEINBERGCredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address2799 W Grand Blvd # B046Detroit, MI 48202-2689

Phone(313) 874-5378

Sole ProprietorNo

Enumeration DateJuly 10, 2019

Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration

NPPES CertifiedMarch 30, 2021

✔ NPI 1558913558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351044708

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD, Detroit, MI 48202

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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