Basic Information
| Provider Information | |||||||||
| NPI: | 1063543163 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WEINRIB | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | LOUIS | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1998 HENDERSONVILLE RD | ||||||||
| Address2: | SUITE 31 | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288032349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286849588 | ||||||||
| FaxNumber: | 8286849626 | ||||||||
| Practice Location | |||||||||
| Address1: | 1998 HENDERSONVILLE RD | ||||||||
| Address2: | SUITE 31 | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288032349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286849588 | ||||||||
| FaxNumber: | 8286849626 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2007 | ||||||||
| LastUpdateDate: | 04/24/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | 200200298 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
ID Information
| ID | Type | State | Issuer | Description | 131XK | 01 | NC | BCBS | OTHER | 89131XK | 05 | NC | MEDICAID | 460003684 | 01 | NC | RR MEDICARE | OTHER |