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Export Provider Record NPI 1376649012
Randall Todd WeingartenM.D.
Active
NPI Number1376649012
NPI TypeNPI-1 Individual
SpecialtyOtolaryngology
Provider Details
NPI1376649012
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-09-16
Last Updated2007-07-08
Mailing AddressPo Box 50007
Henderson, NV 89016-0007
United States
Phone: (702) 617-9599 | Fax: (702) 256-3637
📍 View Map
Primary Practice Address11201 S Eastern Ave, Suite 210
Henderson, NV 89052-6201
United States
Phone: (702) 617-9599 | Fax: (702) 614-8937
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Y00000X – OtolaryngologyNV8716
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About NPI 1376649012

Randall Todd Weingarten M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1376649012. The primary specialty listed is Otolaryngology. The provider is located in Henderson, NV. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1376649012?

NPI 1376649012 belongs to Randall Todd Weingarten M.D., a Otolaryngology in Henderson, NV. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1376649012 active?

The current status of NPI 1376649012 in the NPPES registry is Active. The record was last updated on 2007-07-08.

What specialty is NPI 1376649012?

NPI 1376649012 is classified under the taxonomy Otolaryngology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1376649012?

You can verify NPI 1376649012 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1376649012?

The primary practice address on file for NPI 1376649012 is 11201 S Eastern Ave, Henderson, NV 89052-6201. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1376649012 issued?

NPI 1376649012 was first issued (enumerated) on 2006-09-16. The NPPES record was last updated on 2007-07-08.

Practice Location Map

Randall Todd Weingarten is located at 11201 S Eastern Ave, Henderson, NV. Use the map below to find directions or verify the practice location.

📍 11201 S Eastern Ave, Henderson, NV 89052-6201  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Randall Todd Weingarten. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1376649012. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Otolaryngology8716NV
Data Verified from CMS NPPES Last synced: 2026-08-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162