Individual provider Active NPI

Abigail Wiedeman

  • Physician Assistant
  • Akron, OH
National Provider Identifier
1083328744
Registry record updated Dec 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.008857RX Issued in OH
Practice address
1 Park West Blvd Ste 200
Akron, OH 44320-4219
Phone
(216) 285-4146
Fax
(216) 201-7110
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 50.008857RX OH Primary

Addresses

Primary practice location

1 Park West Blvd Ste 200
Akron, OH 44320-4219

Mailing address

1 Park West Blvd Ste 200
Akron, OH 44320-4219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018003485 OH Practitioner - Physician Assistant 2163954850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians
University Hospitals Ahuja Medical Center IncGroup PAC ID 5496935538, 44 clinicians

Practice addresses (Care Compare)

1 Park W Blvd
Suite 200
Akron, OH 44320-4219
Phone (330) 835-1934

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (216) 593-5500

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.008857RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Ahuja Medical Center Physician Assistant CurrentSince Sep 15, 2024 Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Sep 15, 2024 Accepting new patients
Summa Physicians LLC Physician Assistant CurrentSince Oct 13, 2025 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Oct 13, 2025 Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
Baldwin Wallace University PastSince Jan 1, 2023 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

1 Park West Blvd
Ste 200
Akron, OH 44320
Phone (330) 835-9158

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

Interoperability endpoints

  • Direct secure messaging: awinkler291677@ehrdirect.uhhospitals.org

Organizations & group practices 9

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 4

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1083328744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD STE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD STE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204219",
            "telephone_number": "216-285-4146",
            "fax_number": "216-201-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDEMAN",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008857RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.