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Deactivated NPI 1063453389 Deactivated / Inactive NPI Male Practitioner

Dr. Seymour Sherman Weiner , DO

General Practice • Madison Heights, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Seymour Weiner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2006
NPI Deactivation Date April 29, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Seymour Weiner, DO was a registered General Practice practicing in Madison Heights, MI. Throughout an active medical career spanning 17 years, Dr. Weiner provided care at the practice location at 1200 E 12 MILE RD until profile deactivation on 2023-04-29.

Practice Location & Contact Primary Location

Practice Address

1200 E 12 Mile Rd

Madison Heights, MI 480712677

Telephone 2485481330
Fax 2485482403
Associated Practice Facility / Clinic
🏢 Family Care Dentistry Facility NPI 1346577459

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Madison Heights, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Madison Heights, MI (445 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MI 5101004493

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Nawar Karmo , DDS

Dentist - General Practice

NPI 1952531972

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 29, 2023

Record deactivated on April 29, 2023

NPI Profile Active August 30, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 30, 2012

Registered at 1200 E 12 MILE RD, MADISON HEIGHTS, MI 480712677 (Tel: 2485481330)

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Updated Business Mailing Address August 30, 2012

Registered at 1200 E 12 MILE RD, MADISON HEIGHTS, MI 480712677 (Tel: 2485481330)

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Provider Name / Credentials Updated August 30, 2012

Recorded as SEYMOUR WEINER, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2012

General Practice (License #5101004493 in MI)

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Initial NPI Registration & Enumeration June 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063453389
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2006
Last Update: August 30, 2012
Deactivation Date: April 29, 2023

Mailing Address

1200 E 12 Mile Rd

Madison Heights, MI 480712677

Phone: 2485481330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.