KEVIN A. WEIDMAN MD NPI 1689627507

NPI Information

NPI: 1689627507
Provider Name: KEVIN A. WEIDMAN, MD
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
950 N. 35TH STREET
MILWAUKEE, WI
ZIP 53208
Phone: (414) 831-7939
Get Directions

Kevin A. Weidman, MD is an adult reconstructive orthopaedic surgery orthopaedic surgery in Milwaukee, WI. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. Kevin A. Weidman, MD NPI is 1689627507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

950 N. 35TH STREET
MILWAUKEE, WI
ZIP 53208
Phone: (414) 831-7939
Fax: (414) 831-7954

The enumeration date for this NPI number is 5/19/2006 and was last updated on 7/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		36166	WISCONSIN	No
2	207QA0401X	Family Medicine	Addiction Medicine	36166	WISCONSIN	No
3	207XS0106X	Orthopaedic Surgery	Hand Surgery	36166 HAND SURGERY	WISCONSIN	No
4	207XS0114X	Orthopaedic Surgery	Adult Reconstructive Orthopaedic Surgery	36166	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	D25680	MEDICARE UPIN
2	32135100	MEDICAID	WISCONSIN
3	D25680	MEDICARE UPIN	WISCONSIN
4	73851	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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