Paul Daniel Weidman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101261879 Issued in VA

Practice address

420 Durant St
South Hill, VA 23970-1614

Phone

(434) 584-0046

Fax

(434) 584-0083

NPI assigned

Aug 31, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georges Healthcare Center

  • Internal Medicine Physician
  • Shadyside, OH
  • NPI 1578681888

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245342765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239700623",
            "telephone_number": "434-584-0046",
            "fax_number": "434-584-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DURANT ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701614",
            "telephone_number": "434-584-0046",
            "fax_number": "434-584-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Plaza Drive West",
            "address_purpose": "LOCATION",
            "city": "St Clairsville",
            "state": "OH",
            "postal_code": "43950",
            "country_code": "US",
            "telephone_number": "740-296-5159",
            "fax_number": "740-296-5168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 Durant St",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239701614",
            "country_code": "US",
            "telephone_number": "434-447-2748",
            "fax_number": "434-447-3307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDMAN",
        "first_name": "PAUL",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "21733",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "3584922",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101261879",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101261879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BLUE CROSS BLUE SHIELD",
            "identifier": "001712686",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2513917",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001239",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00220382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Walbert, CRNA
• Tammy Elaine Walters, PA-C
• Margaret Carolyn Ward-Thompson, PHD
• Larry D Warren
• Thomas Watters, CRNA
• Kelly Spahr White, M.ED., BCBA, LBA
• James Ransom Whitlow, HEARING SPECIALIST
• Amy Wilkins, M.S., CCC-SLP
• William a Shelton Jr MD
• Carlos A Williams, MD

• Family Medicine Physician in South Hill, VA
• Providers in South Hill, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.