Individual provider Active NPI

Jennifer W Weidner, MD

  • Obstetrics & Gynecology Physician
  • Bedford, NH
National Provider Identifier
1023094083
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12924 Issued in NH
Practice address
201 Riverway PL
Bedford Commons OBGYN PA
Bedford, NH 03110-6763
Phone
(603) 668-8400
Fax
(603) 629-9346
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12924 NH Primary

Addresses

Primary practice location

201 Riverway PL
Bedford Commons OBGYN PA
Bedford, NH 03110-6763

Mailing address

201 Riverway PL
Bedford Commons OBGYN PA
Bedford, NH 03110-6763
Phone (603) 668-8400

Other identifiers 1

IdentifierTypeStateIssuer
30205654MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000692 NH Practitioner - Obstetrics/Gynecology 4688601420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Connecticut School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bedford Commons OB GYN PAGroup PAC ID 3577535673, 24 clinicians

Practice addresses (Care Compare)

201 Riverway PL
Bedford, NH 03110-6763
Phone (603) 668-8400

Hospital & facility affiliations

  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bedford Commons OB GYN PA Obstetrics & Gynecology CurrentSince Jan 16, 2006 Accepting new patients
Amoskeag Health Past Accepting new patients
Amoskeag Health Past Accepting new patients
Elliot Hospital of the City of Manchester Past Accepting new patients

Locations

201 Riverway Pl
Bedford, NH 03110
Phone (603) 494-0682

6 Tsienneto Rd
Ste 202
Derry, NH 03038
Phone (603) 695-2560

50 Michels Way
Unit 203
Londonderry, NH 03053

49 Range Rd
Ste 109
Windham, NH 03087
Phone (603) 432-8802

Interoperability endpoints

  • Direct secure messaging: jenniferweidner@bcobgyn.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/28516/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1023094083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RIVERWAY PL",
            "address_2": "BEDFORD COMMONS OBGYN PA",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106763",
            "telephone_number": "603-668-8400",
            "fax_number": "603-629-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIVERWAY PL",
            "address_2": "BEDFORD COMMONS OBGYN PA",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106763",
            "telephone_number": "603-668-8400",
            "fax_number": "603-629-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDNER",
        "first_name": "JENNIFER",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "12924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30205654",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.