Nicole Catherine Weidow, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

012355 Issued in AZ

Practice address

9827 N 95TH St Ste 105
Scottsdale, AZ 85258-4591

Phone

(480) 860-8488

Fax

(480) 860-8498

NPI assigned

Jul 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Nicole Catherine Michel Former name

Medicare fee-for-service enrollment

Enrolled in AL

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 Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nweidow89144@directinfirmaryhealth.org

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.

• University of South Alabama Health Care Authority

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1508392432
  Medicare reassignment NPD
• USA Health Physician Billing Services LLC

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1720645468

  Pediatrics

  Medicare reassignment NPD
• USA Health Physician Billing Services LLC

  • Diagnostic Radiology Physician
  • Mobile, AL
  • NPI 1609434067
  NPD
• Arbor Medical Partners, LLC

  • Pediatrics Physician
  • Scottsdale, AZ
  • NPI 1023546082
  NPD (past)
• North Scottsdale Pediatric Associates

  • Pediatrics Physician
  • Scottsdale, AZ
  • NPI 1275797235
  NPD (past)
• USA Health HCA Providence Hospital LLC

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1992489223
  NPD (past)

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1679190755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746450",
            "telephone_number": "866-401-3057",
            "fax_number": "318-868-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9827 N 95TH ST STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584591",
            "telephone_number": "480-860-8488",
            "fax_number": "480-860-8498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Center St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366041541",
            "country_code": "US",
            "telephone_number": "251-410-5437",
            "fax_number": "251-434-3802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 University Hospital Dr Rm 714",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172300",
            "country_code": "US",
            "telephone_number": "251-434-3915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Morphy Ave",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365321812",
            "country_code": "US",
            "telephone_number": "251-279-1529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDOW",
        "first_name": "NICOLE",
        "middle_name": "CATHERINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "DO.2671",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "012355",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MICHEL",
            "middle_name": "CATHERINE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Connie Mae Weglarz, PT, DPT
• Heather Leann Wegley, M.S. C.C.C.
• Nicholas Wegman, MA, T-LAC
• Jill R Weideman, ARNP
• Katherine J Weidenbach, NP-C
• Sara Anne Weigand
• Ethel Jennifer Weil, MD
• Dennis Edward Weiland, M.D.
• Mackenzie A Weiler, LAC
• Gerald H Weiner, M. D.

• Pediatrics Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.