PHILIP LOUIS WEIDNER


Address: 820 S Mcclellan St Ste 300, Spokane, WA 99204
Phone: 5098387100

PHILIP LOUIS WEIDNER (NPI# 1295037844) 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) 1295037844
Entity Type Individual
Full Name PHILIP LOUIS WEIDNER
Credential PA-C
Practice Address 820 S Mcclellan St Ste 300
Spokane
WA 99204
Mailing Address Po Box 421
Liberty Lake
WA 99019-0421
Practice Telephone 5098387100
Practice Fax Number 5092277070
Mailing Telephone 8667472455
Mailing Fax Number 5092277070
Enumeration Date 2010-12-01
Last Update Date 2019-08-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA60191252 WA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
801 W 5th Ave, Suite 504, Spokane, WA 992042823 5098382531

Office Location

Street Address 820 S MCCLELLAN ST STE 300
City SPOKANE
State WA
Zip Code 99204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447357132 Robert B Bazzano Physician Assistant 820 S Mcclellan St Ste 300, Spokane, WA 99204 2006-09-17
1356827133 Caitlin Newton Physician Assistant 820 S Mcclellan St Ste 300, Spokane, WA 99204 2018-07-16
1912309295 Carrie Peacock Physician Assistant 820 S Mcclellan St Ste 300, Spokane, WA 99204-2450 2014-09-18
1114260510 Alexander Lee Telis Orthopaedic Surgery 820 S Mcclellan St Ste 300, Spokane, WA 99204-2450 2013-04-03
1720379050 Reilly James Kuehn Orthopaedic Surgery 820 S Mcclellan St Ste 300, Spokane, WA 99204-2450 2011-04-20
1770815532 Christina Marcus Physician Assistant 820 S Mcclellan St Ste 300, Spokane, WA 99204-2450 2010-02-04
1962646273 Tamara M Brining Physician Assistant 820 S Mcclellan St Ste 300, Spokane, WA 99204-2450 2009-04-30
1447414479 Laura A Bonneau Plastic Surgery 820 S Mcclellan St Ste 300, Spokane, WA 99204-2450 2008-07-18
1609977669 Anthony Matthew Caffarelli Physician Assistant 820 S Mcclellan St Ste 300, Spokane, WA 99204 2006-09-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982250957 Megan Elizabeth Dibenedetto Pharmacist 105 West 8th Avenue, 350e, Spokane, WA 99204 2019-08-14
1619521168 Evelyn R Cabon Genetic Counselor, MS 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 2019-08-01
1346700655 Christina Rose Student in an Organized Health Care Education/Training Program 120 W. 8th Avenue, Spokane, WA 99204 2019-03-22
1508339862 Cody J French Physical Therapist Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 2019-01-09
1730655598 Washington Outpatient Rehabilitation, LLC Physical Therapist 507 S. Washington St., Suite 10, Spokane, WA 99204 2018-10-19
1013405547 Joel James Hayden Student in an Organized Health Care Education/Training Program Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 2018-04-30
1144694787 Brooksjohnsonpllc Dentist 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 2015-11-19
1497184196 Kathalene M Cassels Physician Assistant 810 W. 5th Ave. Ste 510, Spokane, WA 99204 2013-11-04
1174880454 Kelly E Wurzel Psychiatry & Neurology 624 E. Front Ave, Spokane, WA 99204 2012-04-11
1003190331 Katie L Gomez Nurse Practitioner 805 W. 5th Ave, Suite 518, Spokane, WA 99204 2011-10-05
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033720495 Riley Richardson Physician Assistant 1008 E Windemere Ct, Spokane, WA 99223-6228 2020-08-11
1295189066 Thomas D Eskelsen Physician Assistant 910 W 5th Ave Ste 801, Spokane, WA 99204-2974 2016-04-19
1063818789 Jeffrey Jason Hershey Physician Assistant 6022 N Vista Ridge Ln, Spokane, WA 99217-5503 2014-11-06
1114345022 Lindsay Urso Physician Assistant 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 2014-03-29
1891116216 Heather Stout Physician Assistant 605 E Holland Ave Ste 101, Spokane, WA 99218-1246 2014-01-02
1497184196 Kathalene M Cassels Physician Assistant 810 W. 5th Ave. Ste 510, Spokane, WA 99204 2013-11-04
1700218534 Terry Anne Noyes Physician Assistant 528 E Spokane Falls Blvd Ste 502, Spokane, WA 99202 2013-08-03
1710237003 Amber N Wilson Physician Assistant 1422 E Grassland Ct, Spokane, WA 99217-8700 2012-09-13
1669747275 Tiffany Lynn Forquer Physician Assistant 601 West Fifth Avenue, Suite 400, Spokane, WA 99204-2457 2012-03-14
1235420498 Lauren Patton Physician Assistant 9027 N Indian Trail Rd, Spokane, WA 99208-9116 2011-04-22
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Competitor

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City SPOKANE
Zip Code 99204

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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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