Jeffrey T Weideman (NPI# 1013149079, PAC ID# 8022157700) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1013149079 |
| PAC ID by PECOS | 8022157700 |
| Professional Enrollment ID | I20091209000698 |
| Full Name | Jeffrey T Weideman |
| Organization Legal Name | MANKATO CLINIC, LTD. |
| Address |
1230 Main St E Mankato MN 56002-8674 |
| Phone Number | 5076251811 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5597677955 |
| Number of Group Practice Members | 158 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1230 Main St E, Mankato, MN 56002-8674 | 5076251811 | MANKATO CLINIC, LTD. |
| 1901 N Minnesota Ave, Saint Peter, MN 56082-1763 | 5079342325 | MANKATO CLINIC, LTD. |
| Organization Legal Name | MANKATO CLINIC, LTD. |
| Physicians | 154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy W Huisken | General Surgery | Mankato Clinic, Ltd. | 1230 E Main St, Mankato, MN 56001-8674 |
| Nicole M Fischbach | Nurse Practitioner | Mankato Clinic, Ltd. | 1421 Premier Dr, Mankato, MN 56002-8684 |
| Leah R Breit | Family Medicine | Mankato Clinic, Ltd. | 630 Reed St, Mankato, MN 56001-4306 |
| Karl P Roos | Nephrology | Mankato Clinic, Ltd. | 1360 Adams St, Mankato, MN 56001-4298 |
| Stephanie W Putzier | Internal Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Gary S Goldberg | Urology | Mankato Clinic, Ltd. | 1809 Adams St, Mankato, MN 56001-4841 |
| Alyssa L Stitt | Family Medicine | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Hiromi Maruyama | Family Medicine | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| James A Miller | Family Medicine | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Richard J Peller | Family Medicine | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Street Address |
1230 MAIN ST E |
| City | MANKATO |
| State | MN |
| Zip | 56002-8674 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hiromi Maruyama | Family Medicine | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Beth Louise Knoll-fleming | Qualified Speech Language Pathologist | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Grace N Khouri | General Practice | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Kimberly A Haala | Psychologist, Clinical | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Jacob I Nienow | Physical Therapy | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Rachel M Ziegler | Neurology | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Tara J Denke | Obstetrics/gynecology | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Darci A Griffiths | Nurse Practitioner | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Kimberly A Aho | Neurology | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Travis J Mattson | Physical Therapy | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Jensen | Anesthesiology | Mayo Clinic | 1025 Marsh St, Mankato, MN 56002-8673 |
| Katherine A Swanson | Physical Therapy | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Deborah A Schilling | Physician Assistant | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Tami M Meehan | Physical Therapy | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Donald E Davis | Dermatology | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Andrew D Lundquist | Podiatry | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Sagan J Dobie | Physician Assistant | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Galen M Hilgendorf | Physician Assistant | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Jennifer R Holm | Nurse Practitioner | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Susan W Peller | Nurse Practitioner | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Find all physicians in zip 56002 | |||
| City | MANKATO |
| Zip Code | 56002 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MANKATO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jeffrey T Weideman.
| 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.