NPIMap

Individual provider Active NPI

Amy R Weidman, M.D.

  • Internal Medicine Physician
  • Akron, OH
National Provider Identifier
1235143165
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35057181 Issued in OH
Practice address
1755 W Market St
Ste. a
Akron, OH 44313-7040
Phone
(330) 836-2828
Fax
(330) 836-0959
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35057181 OH Primary

Addresses

Primary practice location

1755 W Market St
Ste. a
Akron, OH 44313-7040

Mailing address

1755 W Market St
Ste. a
Akron, OH 44313-7040
Phone (330) 836-2828

Other identifiers 1

IdentifierTypeStateIssuer
0908361MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090413000003 OH Practitioner - Internal Medicine 7214084128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Ohio, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3610 W Market St
Suite 108
Fairlawn, OH 44333-9301
Phone (330) 836-2828

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Amy R Weidman MD LLC Internal Medicine CurrentSince Apr 12, 2017 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

3610 W Market St
Ste 108
Fairlawn, OH 44333
Phone (330) 666-1400

Interoperability endpoints

  • Direct secure messaging: aweidman483629@direct.ccf.org

Organizations & group practices 2

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 9

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1235143165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 W MARKET ST",
            "address_2": "STE. A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137040",
            "telephone_number": "330-836-2828",
            "fax_number": "330-836-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 W MARKET ST",
            "address_2": "STE. A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137040",
            "telephone_number": "330-836-2828",
            "fax_number": "330-836-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDMAN",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35057181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0908361",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.