John N Weidemann

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

28506 Issued in OK

Practice address

2801 Parklawn Dr
Midwest City, OK 73110

Phone

(405) 202-6710

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467541102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S AIR DEPOT",
            "address_2": "SUITE D PMB 306",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "405-202-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PARKLAWN DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "405-202-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDEMANN",
        "first_name": "JOHN",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "OK",
            "license": "28506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Weathers, RBT
• Joseph Paul Webb, BHRS
• Derek Ethan Webber
• Fanee Webster
• Stuart Camden Wegenka
• Jonathan Weissbach
• Damon Wells
• Abby Ruth Welty, OTA
• Wenjest Corporation
• Jeremy Wente, LCSW

• All providers in Midwest City, OK
• Radiologic Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.