Eric W Weidmann, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0917 Issued in TX

Practice address

2555 Western Trails Blvd
Ste 101
Austin, TX 78745-1574

Phone

(512) 892-6600

Fax

(512) 892-6609

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: southaustin-medicalclinicpa@south.e-mdsdirect.com
• Direct secure messaging: weidmannaprima@eweidmann.ssdirect.aprima.com

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1922002617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 WESTERN TRAILS BLVD",
            "address_2": "STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451574",
            "telephone_number": "512-892-6600",
            "fax_number": "512-892-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 WESTERN TRAILS BLVD",
            "address_2": "STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451574",
            "telephone_number": "512-892-6600",
            "fax_number": "512-892-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDMANN",
        "first_name": "ERIC",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129064503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Wehrle, RD
• Elizabeth Wei, M.D.
• Deanna Rochelle Weibel, R.N., FNP-C
• Blake Ann Weidaw, M.D.
• Lana Y Weidling, OTR
• Sarah Ann Weier
• Sharon L Weigand, CRNA
• Diana Gay Weihs, MD
• Kristin Marie Weikel, DC, EP-C
• Thomas S Weil, DDS MD

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.