Active NPI
Claude Lyman Weidow, IDMT
- Independent Duty Medical Technicians
- Sheppard Afb, TX
National Provider Identifier
1154555225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Medical Technicians
- Practice address
- 939 Missile Rd
Ste 3
Sheppard Afb, TX 76311-2263 - Phone
- (940) 676-6574
- Fax
- (940) 676-6922
- NPI assigned
- May 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Primary |
Addresses
Primary practice location
939 Missile Rd
Ste 3
Sheppard Afb, TX 76311-2263
Mailing address
939 Missile Rd,
Ste 3
Wichita Falls, TX 76311
Phone (940) 676-6574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241481600000",
"number": "1154555225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 MISSILE RD,",
"address_2": "STE 3",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "76311",
"telephone_number": "940-676-6574",
"fax_number": "940-676-6922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 MISSILE RD",
"address_2": "STE 3",
"city": "SHEPPARD AFB",
"state": "TX",
"postal_code": "763112263",
"telephone_number": "940-676-6574",
"fax_number": "940-676-6922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDOW",
"first_name": "CLAUDE",
"middle_name": "LYMAN",
"credential": "IDMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-05",
"last_updated": "2009-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1003X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Medical Technicians",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheppard Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.