Provider Demographics
NPI:1326109588
Name:WEINMAN, STEVEN A (MD, PHD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:WEINMAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD, RM 4035
Mailing Address - Street 2:WESCOE MAILSTOP 1023
Mailing Address - City:KANSAS CITY,
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-6003
Mailing Address - Fax:913-588-3975
Practice Address - Street 1:3901 RAINBOW BLVD, RM 4035
Practice Address - Street 2:WESCOE MAILSTOP 1023
Practice Address - City:KANSAS CITY,
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:409-772-2222
Practice Address - Fax:409-772-0885
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7251207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS04-33702OtherMEDICAL LICENSE
TX116735502Medicaid
TX116735502Medicaid
TXD98364Medicare UPIN