John A Weidner (NPI# 1467438143, PAC ID# 0941270896) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1467438143 |
| PAC ID by PECOS | 0941270896 |
| Professional Enrollment ID | I20040728000673 |
| Full Name | John A Weidner |
| Address |
3636 Stockton Hill Rd Suite 2 Kingman AZ 86409-0514 |
| Gender | M |
| Credential | DO |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030055 | KINGMAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2720 E Calle Marquez, Kingman, AZ 86409-0851 | ||
| 3636 Stockton Hill Rd, Suite 2, Kingman, AZ 86409-0514 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
3636 STOCKTON HILL RD SUITE 2 |
| City | KINGMAN |
| State | AZ |
| Zip | 86409-0514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra B Fedie | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Jillian Musick | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Antony I Mwangi | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Muhammad A Khan | General Surgery | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Karen Gwinn | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Munawar A Paracha | Neurology | 1708 Sycamore Ave, Kingman, AZ 86409-0927 | |
| Marie Bridget Moran | Nurse Practitioner | Mohave Mental Health Clinic Inc | 1741 Sycamore Ave, Kingman, AZ 86409-0927 |
| Michael S Serrano | Nurse Practitioner | Mohave Mental Health Clinic Inc | 3505 Western Ave, Kingman, AZ 86409-0927 |
| Annika J Bergeson | Nurse Practitioner | Arizona Desert Dermatology and Surgery PC | 1700 Sycamore Ave, Kingman, AZ 86409-0927 |
| Daniel M Riesenberg | Urology | Kingman Hospital Inc | 1712 Sycamore Ave, Kingman, AZ 86409-0927 |
| Find all physicians in zip 86409 | |||
| City | KINGMAN |
| Zip Code | 86409 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KINGMAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John A Weidner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.