Paul D Weidman, MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3584922 Issued in OH

Legal business name

PAUL D WEIDMAN, MD PLLC

Practice address

106 Plaza Dr
Saint Clairsville, OH 43950-6700

Phone

(740) 296-5159

Fax

(740) 695-5168

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Paul Daniel Weidman, MD

Title

Sole Proprieter

Phone

(740) 296-5159

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1154536597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PLAZA DRIVE WEST",
            "city": "ST CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501540",
            "telephone_number": "740-296-5159",
            "fax_number": "740-296-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PLAZA DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439506700",
            "telephone_number": "740-296-5159",
            "fax_number": "740-695-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D WEIDMAN, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "WEIDMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "740-296-5159",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "3584922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001706186",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chrstobel Pamela Parmar, M D.
• Vina Patel-Mehta, M.D.
• Meghan Joy Patrick
• Connie Irene Patton
• Larry Alan Patton
• Carissa Pauley, RN
• David Paulick
• Effie Payne, LSW
• Kelsi Lynne Peck
• Erika Perry

• Family Medicine Physician in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.