Organization Active NPI

Thomas F Weidner DPM Chartered

  • Durable Medical Equipment & Medical Supplies
  • Germantown, MD
National Provider Identifier
1679743512
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00574 Issued in MD
Legal business name
THOMAS F WEIDNER DPM CHARTERED
Practice address
13218 Executive Park Ter
Germantown, MD 20874-2641
Phone
(301) 251-6226
Fax
(240) 361-2886
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Dr. Thomas F Weidner, DPMNPI 1417043217
Title
Owner
Phone
(301) 251-6226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00574 MD Primary

Addresses

Primary practice location

13218 Executive Park Ter
Germantown, MD 20874-2641

Mailing address

13218 Executive Park Ter
Germantown, MD 20874-2641
Phone (301) 251-6226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090902000097 DC Part B Supplier - Clinic/Group Practice 1951456664 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, MD

National Provider Directory

National Provider Directory

Locations

13218 Executive Park Ter
Germantown, MD 20874
Phone (301) 251-6226

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1679743512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13218 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742641",
            "telephone_number": "301-251-6226",
            "fax_number": "240-361-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13218 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742641",
            "telephone_number": "301-251-6226",
            "fax_number": "240-361-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS F WEIDNER DPM CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "WEIDNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-251-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "00574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.