Stacey Bidigare Weldon, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301084557 Issued in MI

Practice address

26 Tremont St
Cos Cob, CT 06807-2422

Phone

(586) 260-2095

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Emergency Medicine Physicians of Fairfield County, LLC

  • Emergency Medicine Physician
  • Stamford, CT
  • NPI 1689614109
  NPD (past)
• Emergency Department Physicians, P.C.

  • Emergency Medicine Physician
  • Detroit, MI
  • NPI 1225083595
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1073648325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 TREMONT ST",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072422",
            "telephone_number": "586-260-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 TREMONT ST",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072422",
            "telephone_number": "586-260-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDON",
        "first_name": "STACEY",
        "middle_name": "BIDIGARE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301084557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Thaler
• Christine L. Tierney, D.M.D.
• Chaula K. Vora, M.D.
• Walsh-Brunetti LLC
• Francis X Walsh, M.D.
• Barbara Whitton, LPC
• Brian Davidson Whyte, DPT
• Todd Michael Wilkowski, RPT, OCS
• Monique Williams
• Ellen N Wolfson, M.D.

• Emergency Medicine Physician in Cos Cob, CT
• Providers in Cos Cob, CT by specialty
• Emergency Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.