KENYON JOSEPH WEIDLE


Address: 191 E Orchard Rd, #300, Littleton, CO 80121-8000
Phone: 3037883100

KENYON JOSEPH WEIDLE (NPI# 1083903165) 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) 1083903165
Entity Type Individual
Full Name KENYON JOSEPH WEIDLE
Credential M.D.
Practice Address 191 E Orchard Rd
#300
Littleton
CO 80121-8000
Mailing Address 191 E Orchard Rd Ste 300
Littleton
CO 80121-8058
Practice Telephone 3037883100
Practice Fax Number 3037883196
Mailing Telephone 3037883100
Mailing Fax Number 3037883197
Enumeration Date 2011-03-29
Last Update Date 2018-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 49856 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 23875313 05

Office Location

Street Address 191 E ORCHARD RD
#300
City LITTLETON
State CO
Zip Code 80121-8000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730181272 Linda Pearson Nurse Practitioner 191 E Orchard Rd, Littleton, CO 80121-8000 2005-08-15
1053844415 George Olsen Family Medicine 191 E Orchard Rd, Littleton, CO 80121-8000 2017-04-04
1497133623 Dana Steger Registered Nurse 191 E Orchard Rd, Littleton, CO 80121-8000 2015-05-07
1720481443 New Beginnings Recovery Center Substance Abuse Rehabilitation Facility 191 E Orchard Rd, Unit B, Littleton, CO 80121-8000 2014-10-08
1588007785 Lisa Rose Rothlein-naron Family Medicine 191 E Orchard Rd, Swedish Family Medicine, Littleton, CO 80121-8000 2013-04-08
1861776460 Jason E Strasser Pharmacist 191 E Orchard Rd, Littleton, CO 80121-8000 2011-10-01
1548578388 Daniel Joseph Holligan Family Medicine 191 E Orchard Rd, Suite 200, Littleton, CO 80121-8000 2010-09-14
1861629404 Stephanie M Bacon Physician Assistant 191 E Orchard Rd, #102 Ne, Littleton, CO 80121-8000 2009-06-22
1679726640 Krista A.w. Blew Physician Assistant 191 E Orchard Rd, Suite 102 Ne, Littleton, CO 80121-8000 2008-11-03
1447448733 Doctors Care Voluntary or Charitable 191 E Orchard Rd, Ste 102ne, Littleton, CO 80121-8000 2007-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457810889 Pushpa Sunder Mehta Obstetrics & Gynecology 5555 E. Pine Court., Greenwood Village, CO 80121 2019-03-15
1346722378 Michael Bernard Young Respiratory Therapist, Registered 2204 E Panama Drive, Centennial, CO 80121 2018-09-06
1235592676 Stephen Cheung Student in an Organized Health Care Education/Training Program 191 E Orchard Rd Ste 200, Littleton, CO 80121 2016-04-02
1962722629 James Paul Bieneman Dentist 6650 S. Vine Street, Suite 220, Centennial, CO 80121 2010-06-04
1033349774 Matthew Renner Wimmer Dentist 6690 S. Broadway, Centennial, CO 80121 2009-07-15
1134385131 Paul Adams Hood Counselor 6949 South Highway 73, Suite 211, Evergreen, CO 80121 2008-07-30
1063545044 Marcia J Murphy Psychologist 681 E Orchard Road, Centennial, CO 80121 2007-03-13
1417032111 Edward J. Barrett Dentist 6650 S. Vine St, L-80, Centennial, CO 80121 2006-10-25
1255412334 Donald A Metzger Optometrist 6610 S Broadway, Centennial, CO 80121 2006-10-17
1609893171 Michele Marie Friedl Dentist 5959 S University, Greenwood Village, CO 80121 2006-07-17
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538773296 Donna Jean Nelligan Family Medicine 7950 S Lincoln St Ste 111, Littleton, CO 80122-2727 2020-09-01
1700358645 Mednow Clinics, Inc Family Medicine 7261 S Broadway Ste 101, Littleton, CO 80122-8018 2018-12-17
1588017446 Genevieve Mary Kelley Family Medicine 580 Saint Johnsbury Rd Ste K, Littleton, NH 03561 2016-07-15
1710348818 Centennial Family Care PC Family Medicine 7261 S Broadway Ste 101a, Littleton, CO 80122-8018 2016-03-16
1710342670 Constance Azubuike Family Medicine 4418 S Independence Ct, Littleton, CO 80123-1173 2015-12-19
1427390756 Peter Yi Zhao Family Medicine 830 Constitution Ave, Littleton, MA 01460-1137 2013-03-25
1508114349 Lawrence Frerker Md PC Family Medicine 7363 South Costilla Court, Littleton, CO 80120 2012-08-28
1164792743 Portercare Adventist Health System Family Medicine 6901 South Pierce St., Suite 110, Littleton, CO 80128 2012-01-12
1275822934 Rebecca Marie Bub Family Medicine 13402 W Coal Mine Ave Ste 250, Littleton, CO 80127-5409 2011-04-04
1740508365 Zachary John Engelbert Family Medicine 7761 Shaffer Pkwy Ste 225, Littleton, CO 80127 2010-05-06
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Competitor

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City LITTLETON
Zip Code 80121

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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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