Charles C. Weddle, Jr PHD, MD, PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

CHARLES C. WEDDLE, JR PHD, MD, PLLC

Doing business as

Charles C Weddle, Jr MD

Practice address

8151 E Sorghum Mill Rd
Edmond, OK 73034-9526

Phone

(405) 306-6531

NPI assigned

Oct 27, 2014

Last updated

Oct 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles C Weddle, MD

Title

President

Phone

(405) 306-6531

Specialties & licenses 1

Addresses

Other names 1

• Charles C Weddle, Jr MD Doing business as

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1447655923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 E SORGHUM MILL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730349526",
            "telephone_number": "405-306-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8151 E SORGHUM MILL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730349526",
            "telephone_number": "405-306-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES C. WEDDLE, JR PHD, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "WEDDLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-306-6531",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles C Weddle, Jr MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anesthesiology Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.