Edmund C Weidner MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME0038533 Issued in FL

Legal business name

EDMUND C WEIDNER MD PA

Practice address

700 2ND Ave N Ste 205
Naples, FL 34102-5701

Phone

(239) 263-5400

Fax

(239) 263-6661

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Edmund Charles Weidner, MEDICAL DOCTOR

Title

Owner

Phone

(239) 263-5400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1689983389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 2ND AVE N STE 205",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025701",
            "telephone_number": "239-263-5400",
            "fax_number": "239-263-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 2ND AVE N STE 205",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025701",
            "telephone_number": "239-263-5400",
            "fax_number": "239-263-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUND C WEIDNER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "WEIDNER",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-263-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0038533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Ann Echols, RN,BSN,CNOR,RNFA
• Kara Lien Eckstein
• Lizbeth Edelman, RN
• Merri Scarlett Edens, DC
• Daniel Kirk Edmondson, LMHC
• Theresa Edmunds, CHC
• Guerline Edouard Antoine, PMHNP
• Veronique Edward, OD
• Cary Lynn Edwards, FNP-LPA
• Jeffrey Edwards, ARNP

• Primary Care Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.