MEDICARE: LEONARD M WEINBERGER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	35060213W	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0651255	OTHER	OH	AETNA SELECT
2	341772310026	OTHER	OH	CARESOURCE
3	000000138277	OTHER		ANTHEM BCBS
4	6960226005	OTHER	OH	CIGNA
5	000000138277	OTHER	OH	UNICARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	341772310LW	OTHER	OH	SUMMACARE HEALTH PLAN
8	5734692	OTHER	OH	AETNA MANAGED CARE
9	378735	OTHER	OH	STAYWELL HEALTH/WELLCARE

General Provider Information

NPI Number	:	1245223676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEONARD M WEINBERGER MD

Provider Business Mailing Address
First Line	:	PO BOX 8792
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-8792
Country	:	US
Telephone Number	:	440-357-3100
Fax Number	:	440-357-8254

Provider Business Practice Location Address
First Line	:	7535 FREDLE DR
Second Line	:
City	:	CONCORD TWP
State	:	OH
Zip	:	44077-9406
Country	:	US
Telephone Number	:	440-357-3100
Fax Number	:	440-357-8254

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	11/23/2020

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Directions to “ LEONARD M WEINBERGER MD” Practice Location

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