Carol Davenport Weidner, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

J0876 Issued in TX

Practice address

4275 Little Rd
Suite 202
Arlington, TX 76016-5600

Phone

(817) 516-8811

Fax

(817) 516-8444

NPI assigned

May 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Annette Weidner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

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.

• Legacy Anesthesia Consultants, PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1760632723
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1437117306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 LITTLE RD",
            "address_2": "SUITE 202",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760165600",
            "telephone_number": "817-516-8811",
            "fax_number": "817-516-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 LITTLE RD",
            "address_2": "SUITE 202",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760165600",
            "telephone_number": "817-516-8811",
            "fax_number": "817-516-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDNER",
        "first_name": "CAROL",
        "middle_name": "DAVENPORT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J0876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "WEIDNER",
            "middle_name": "ANNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald Debrelle Webb, COTA
• Kevona Webb
• Rodnesha Webb
• Tracy Carla Webster, FNP
• Wee Tots Pediatrics, P.a.
• Kevin Weikel, PA-C
• Kelsie Marie Weiland, FNP
• Sam Weinberg
• Harold Mark Welch Jr., M.D.
• Mark P Welding, O.D.

• Anesthesiology Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.