Provider Demographics
NPI:1922003037
Name:WEINSTEIN, JOSEPH SETH (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:SETH
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 RALEIGH COMMON DR
Mailing Address - Street 2:STE 100
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38128-2478
Mailing Address - Country:US
Mailing Address - Phone:901-572-1801
Mailing Address - Fax:
Practice Address - Street 1:4901 RALEIGH COMMON DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128
Practice Address - Country:US
Practice Address - Phone:901-572-1801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20105207RI0011X
MS14740207RI0011X
MO110151207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3048908Medicare ID - Type Unspecified
A61770Medicare UPIN
TN3048901Medicare ID - Type Unspecified