ERICH J WEIDENBENER (NPI# 1811049380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811049380 |
| Entity Type | Individual |
| Full Name | ERICH J WEIDENBENER |
| Credential | M.D. |
| Practice Address |
639 S Walker St Suite E Bloomington IN 47403 |
| Mailing Address |
639 S Walker St Ste E Bloomington IN 47403-2124 |
| Practice Telephone | 8123334000 |
| Practice Fax Number | 8123330611 |
| Mailing Telephone | 8123334000 |
| Mailing Fax Number | 8123330611 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
01036915A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637832 | Erich R Weidenbener | Emergency Medicine | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-04-11 |
| Street Address |
639 S WALKER ST SUITE E |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538191036 | Bloomington Bone & Joint Clinic, PC | Internal Medicine | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2006-07-07 |
| 1477856243 | Theresa Wiegand-swihart | Occupational Therapist | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2010-12-16 |
| 1790837938 | Dale Dellacqua | Orthopaedic Surgery | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2007-01-17 |
| 1801948211 | Sterling E Doster | Orthopaedic Surgery | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2007-01-17 |
| 1740331263 | Gregory M Fox | Orthopaedic Surgery | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538191036 | Bloomington Bone & Joint Clinic, PC | Internal Medicine | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2006-07-07 |
| 1710213673 | Bromenn Physician Management Corporation | Internal Medicine | 2406 E Empire St, Bloomington, IL 61704-3630 | 2009-10-28 |
| 1720030752 | C. Andrew Hunt | Internal Medicine | 8100 Northland Dr, Bloomington, MN 55431 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095769 | Michael D Krauss | Internal Medicine | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2005-10-05 |
| 1770570616 | Gregory A Rowdon | Internal Medicine | 900 N John R Wooden Dr, West Lafayette, IN 47907-2117 | 2005-10-05 |
| 1053712570 | Purdue Sports Medicine Wl | Internal Medicine | 900 John R Wooden Drive, Mackey Arena, West Lafayette, IN 47907 | 2014-09-16 |
| 1629321229 | Mary Apiafi Moore | Internal Medicine | 3512 S Lafountain St, Kokomo, IN 46902-3803 | 2012-10-19 |
| 1245506922 | Thomas A Brady Sports Medicine Ctr | Internal Medicine | 1401 W County Line Rd, Greenwood, IN 46142-5195 | 2012-03-28 |
| 1255446399 | Stephen Howard Montaldi | Internal Medicine | 1007 N 16th St, New Castle, IN 47362-4319 | 2006-08-20 |
| 1295741981 | Jared W. Jones | Internal Medicine | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2006-08-01 |
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| 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.