Provider Demographics
NPI:1427219872
Name:WEISBERG, SAMI JOY (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMI
Middle Name:JOY
Last Name:WEISBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAMI
Other - Middle Name:
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7010 E CHAUNCEY LN
Mailing Address - Street 2:SUITE 225
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-3117
Mailing Address - Country:US
Mailing Address - Phone:480-585-5200
Mailing Address - Fax:480-585-5233
Practice Address - Street 1:7010 E CHAUNCEY LN
Practice Address - Street 2:SUITE 225
Practice Address - City:PHOENOX
Practice Address - State:AZ
Practice Address - Zip Code:85054-3117
Practice Address - Country:US
Practice Address - Phone:480-585-5200
Practice Address - Fax:480-585-5233
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102908208000000X
AZ41395208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ477285Medicaid