Edmund Charles Weidner, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0038533 Issued in FL

Practice address

700 Second Avenue North
Suite 205
Naples, FL 34102-5701

Phone

(239) 263-5400

Fax

(239) 263-6661

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1801965496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SECOND AVENUE NORTH",
            "address_2": "SUITE 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 SECOND AVENUE NORTH",
            "address_2": "SUITE 205",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025701",
            "telephone_number": "239-263-5400",
            "fax_number": "239-263-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDNER",
        "first_name": "EDMUND",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0038533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher Thomas Weber, LMHC
• Robert E Weber, MD
• Charles Cole Webster, DPT
• Olivia Anne Weeks, OTR
• Meagan Brianna Weems, LCSW
• Hillary Young Weiland, D.C.
• Scott A Weiland, D.C.
• Casey Allyn Weiner
• Russell Weintraub, MD
• Kimberly May Weisberg, LCSW

• Family Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.