Individual provider Active NPI

Taylor Weidman, D.O.

  • Obstetrics & Gynecology Physician
  • Colorado Springs, CO
National Provider Identifier
1649702499
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0073011 Issued in CO
Practice address
6011 E Woodmen Rd Ste 320
Colorado Springs, CO 80923-2604
Phone
(719) 571-5540
Fax
(719) 571-5550
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101026368 MI
Obstetrics & Gynecology Physician 207V00000X DR.0073011 CO Primary

Addresses

Primary practice location

6011 E Woodmen Rd Ste 320
Colorado Springs, CO 80923-2604

Mailing address

6011 E Woodmen Rd Ste 320
Colorado Springs, CO 80923-2604
Phone (719) 571-5550

Other practice location 1

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8000

Other practice location 2

44200 Garfield Rd Ste 164
Clinton Township, MI 48038
Phone (586) 412-5117

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Taylor.weidman@mclaren.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20240625000778 CO Practitioner - Obstetrics/Gynecology 8729358643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

6011 E Woodmen Rd
Suite 320
Colorado Springs, CO 80923-2604
Phone (719) 571-5540

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0073011COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Jul 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

6011 E Woodmen Rd
Ste 320
Colorado Springs, CO 80923
Phone (719) 571-5540

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1649702499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD STE 320",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232604",
            "telephone_number": "719-571-5550",
            "fax_number": "719-571-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD STE 320",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232604",
            "telephone_number": "719-571-5540",
            "fax_number": "719-571-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Harrington St",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480432920",
            "country_code": "US",
            "telephone_number": "586-493-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44200 Garfield Rd Ste 164",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "48038",
            "country_code": "US",
            "telephone_number": "586-412-5117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDMAN",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101026368",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0073011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Taylor.weidman@mclaren.org",
            "affiliation": "N",
            "address_1": "44200 Garfield Rd Ste 164",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.