Provider Demographics
NPI:1497818512
Name:SCOTT D. WEINER, MD, INC.
Entity Type:Organization
Organization Name:SCOTT D. WEINER, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:WEINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-379-5051
Mailing Address - Street 1:20 OLIVE ST
Mailing Address - Street 2:STE. 201
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-3165
Mailing Address - Country:US
Mailing Address - Phone:330-379-5051
Mailing Address - Fax:330-379-8183
Practice Address - Street 1:20 OLIVE ST
Practice Address - Street 2:STE. 201
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-3165
Practice Address - Country:US
Practice Address - Phone:330-379-5051
Practice Address - Fax:330-379-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35056055207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty