Weidner Medical Consulting PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4035 Issued in AZ

Legal business name

WEIDNER MEDICAL CONSULTING PLLC

Practice address

2720 E Calle Marquez
Kingman, AZ 86409-0851

Phone

(928) 263-9657

NPI assigned

Apr 13, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Candice M Weidner

Title

Administrative Assistant

Phone

(928) 263-9657

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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

• John A Weidner, D.O.

  • Family Medicine Physician
  • Kingman, AZ
  • NPI 1467438143
  Medicare reassignment NPD
• Zaffar Iqbal, M.D.

  • Internal Medicine Physician
  • Kingman, AZ
  • NPI 1316137169

  Family Medicine

  NPD (past)
• Judith Mary Lassen, FNP

  • Family Nurse Practitioner
  • Kingman, AZ
  • NPI 1831407865
  NPD (past)

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1780900910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4452",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864024452",
            "telephone_number": "928-263-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E CALLE MARQUEZ",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090851",
            "telephone_number": "928-263-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIDNER MEDICAL CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "WEIDNER",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "928-263-9657",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Ward, FNP-BC
• Beverly Sharon Watson
• Britannie Watson
• Cheryl Lynn Webb
• Tammie Weeks
• John A Weidner, D.O.
• Dawn Michelle Weiler, COTA/L
• West Kingman Pharmacy LLC
• West Kingman Pharmacy, LLC
• West Transportation LLC (yellow & lightning taxi)

• Family Medicine Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Family Medicine Physician in Arizona

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