Daniel T. Weidenthal MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35023014 Issued in OH

Legal business name

DANIEL T. WEIDENTHAL MD INC

Practice address

25700 Science Park Drive
Suite #170
Beachwood, OH 44122-7335

Phone

(216) 464-5266

Fax

(216) 464-5290

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Daniel T. Weidenthal, M.D.

Title

President

Phone

(216) 464-5266

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1649520263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25700 SCIENCE PARK DRIVE",
            "address_2": "SUITE #170",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227335",
            "telephone_number": "216-464-5266",
            "fax_number": "216-464-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25700 SCIENCE PARK DRIVE",
            "address_2": "SUITE #170",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227335",
            "telephone_number": "216-464-5266",
            "fax_number": "216-464-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL T. WEIDENTHAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "WEIDENTHAL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-464-5266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35023014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.