Donald J. Weidler, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

38570 Issued in KY

Practice address

801 N Main St
Tompkinsville, KY 42167-1002

Phone

(270) 407-5052

Fax

(270) 407-5053

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: dweidler@fmc1.gwaydirect.com

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.

• Living Well Healthcare, LLC

  • Rural Health Clinic/Center
  • Tompkinsville, KY
  • NPI 1255609046
  Medicare reassignment
• Redd Road Enterprises, Inc.

  • Internal Medicine Physician
  • Russell Springs, KY
  • NPI 1184657736
  NPD (past) Authorized official
• Jane Todd Crawford Memorial Hospital, Inc.

  • Clinical Medical Laboratory
  • Greensburg, KY
  • NPI 1386953966
  NPD (past)
• Jane Todd Crawford Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Greensburg, KY
  • NPI 1891761300
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1477577518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "421670669",
            "telephone_number": "270-407-5052",
            "fax_number": "270-407-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MAIN ST",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "421671002",
            "telephone_number": "270-407-5052",
            "fax_number": "270-407-5053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1463 Campbellsville Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "KY",
            "postal_code": "427282263",
            "country_code": "US",
            "telephone_number": "270-384-9934",
            "fax_number": "270-384-2823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDLER",
        "first_name": "DONALD",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "38570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64078371",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000356155",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "810529995",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Turner, PHARMD
• Vann Homecare Inc
• Wal-Mart Stores East LP
• Sharon Walker
• Julie Ann Warren
• Heather L Wilson, MHA
• Joseph Wade Wilson, OD

• Internal Medicine Physician in Tompkinsville, KY
• Providers in Tompkinsville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.