CATHERINE L WEIDEMAN


Address: 1351 W Central Park Ave, Ste 350, Davenport, IA 52804-1889
Phone: 5634214620

CATHERINE L WEIDEMAN (NPI# 1083610919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083610919
Entity Type Individual
Full Name CATHERINE L WEIDEMAN
Credential MD
Practice Address 1351 W Central Park Ave
Ste 350
Davenport
IA 52804-1889
Mailing Address 865 Lincoln Rd
Ste L10
Bettendorf
IA 52722-4159
Practice Telephone 5634214620
Practice Fax Number 5634214625
Mailing Telephone 5633559191
Mailing Fax Number 5633553419
Enumeration Date 2005-06-24
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
20640 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IOWA HEALTH SOLUTIONS 19921 01
IA 1201376 05
JOHN DEERE HEALTH PLAN IL01D6 01
HEALTH ALLIANCE 041678 01
WELLMARK BC/BS 31101 01

Office Location

Street Address 1351 W CENTRAL PARK AVE
STE 350
City DAVENPORT
State IA
Zip Code 52804-1889

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194720649 Danita K Harrison Nurse Practitioner 1351 W Central Park Ave, Ste 350, Davenport, IA 52804-1889 2005-06-20
1295279602 Transitions Nfp Community/Behavioral Health 1351 W Central Park Ave, Davenport, IA 52804-1853 2016-12-05
1023462108 Kerry Miller Nurse Practitioner 1351 W Central Park Ave, Davenport, IA 52804-1853 2016-04-14
1568851913 Sherrel Fry Nurse Practitioner 1351 W Central Park Ave, Davenport, IA 52804-1853 2015-01-22
1427485697 Genesis Health System Family Medicine 1351 W Central Park Ave, Suite 4100, Davenport, IA 52804-1853 2013-10-03
1497031538 Alyssa L Uker Nurse Practitioner 1351 W Central Park Ave, Suite 4300, Davenport, IA 52804-1853 2011-11-02
1043523491 Julia A Hull Nurse Practitioner 1351 W Central Park Ave, Suite 360, Davenport, IA 52804-1853 2010-07-14
1699092064 Denise Walsh Mcmonagle Physical Medicine & Rehabilitation 1351 W Central Park Ave, Suite 1225, Davenport, IA 52804-1853 2010-04-26
1972831410 Wound Management Consultants P.C. Emergency Medicine 1351 W Central Park Ave, Suite 1225, Davenport, IA 52804-1853 2009-11-20
1396904462 Joseph Earl Brooks Physical Medicine & Rehabilitation 1351 W Central Park Ave, Davenport, IA 52804-1853 2008-06-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265948467 Tess Nelson Physical Medicine & Rehabilitation 2535 Maplecrest Rd Suite 23, Bettendorf, IA 52804 2017-12-26
1124494380 Erica Lauren Hempel Bucy Social Worker 1333 W. Lombard St. Ste C, Davenport, IA 52804 2015-08-11
1477859890 Kristin L West Registered Nurse 1441 W. Centrral Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 2011-02-02
1679877625 Linda Marie Crownover-inch Doula 1420 W 16th Street, #412, Davenport, IA 52804 2011-01-05
1124169032 Lawrence R Huber Dentist 2305 Jersey Ridge Rd, Davenport, IA 52804 2007-02-12
1669532388 Providence Therapy Services LLC Physical Therapist 21037 Holden Drive, Davenport, IA 52804 2006-12-11
1639183171 Megan Denise Long Occupational Therapist 31037 Holden Dr, Davenport, IA 52804 2006-07-28
1811919772 Theresa L Schlabach Occupational Therapist 21037 Holden Dr, Davenport, IA 52804 2006-07-23
1225097843 William M Nissen Psychiatry & Neurology 1441 W Central Park, Davenport, IA 52804 2006-03-22
1245721851 Mackenzie J Banwart Physical Therapist 1700 N Division St Ste 200, Davenport, IA 52804 2018-05-21
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710908181 Mary Kathleen Figaro Internal Medicine 4620 E 53rd St Ste 200, Davenport, IA 52807-3627 2006-07-21
1467772145 Heart of Florida Diabetes and Endocrine LLC Internal Medicine 171 Webb Dr, Ste 2, Davenport, FL 33837-3944 2010-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154730869 Maria Gabriela Suarez Lopez Internal Medicine 411 Laurel St Ste 3262, Des Moines, IA 50314-3027 2014-08-06
1447693924 Helmut Gunther Schrott Internal Medicine 3117 Alpine Ct, Iowa City, IA 52245-5401 2013-04-15
1952525115 Prasuna Madhavaram Internal Medicine 621 Huntington Ridge Rd Ne, Cedar Rapids, IA 52402-7308 2007-04-12
1558882217 Srinivasa Venkata Siva Kumar Kasina Internal Medicine 200 Hawkins Dr, Iowa City, IA 52242-1009 2017-07-03
1275053191 Maisoon Torfah Internal Medicine 200 Hawkins Dr, Iowa City, IA 52242-1009 2017-06-21
1780060285 Yamuna Gorantla Internal Medicine 1015 Duff Ave, Ames, IA 50010-5733 2015-08-06
1619358603 Losty Tatiana Torres Potter Internal Medicine 240 N Rerick Ave, Primghar, IA 51245-7786 2015-06-15
1962807784 Mercy Physician Associates, Inc Internal Medicine 5264 Council St Ne, Suite 800, Cedar Rapids, IA 52402-2471 2014-10-23
1043629355 Robert Spanheimer Internal Medicine 200 Hawkins Dr, Department of Internal Medicine, Iowa City, IA 52242-1009 2014-08-12
1962766980 Hugo Alejandro Rivadeneyra Pasten Internal Medicine 1015 Duff Avenue, Ames, IA 50010-3014 2012-06-25
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Competitor

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City DAVENPORT
Zip Code 52804

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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