Look up the most recent NPI and PECOS records

Nicole Catherine Weidow

Pediatrics

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as NICOLE WEIDOW.

Based on the most recent information from CMS, provider Nicole Catherine Weidow is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1679190755
Provider Type
Individual
Full Name
Weidow, Nicole Catherine
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
7/6/2020
Last Updated
4/4/2024

Contact Information

Practice Location

1601 Center St, Mobile, AL 36604-1541

(251) 410-5437

(251) 434-3802

Mailing Location

PO Box 746450, Atlanta, GA 30374-6450

(866) 401-3057

(318) 868-6430

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License DO.2671 Alabama
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer Alabama

Nicole Catherine Weidow

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Mcmullin, Sarah Elizabeth

Mcdade, Carey

Jones, Don Edward

Almannai, Mohammed Ali

Delgado, Myrtle

Afrin, Humayra

Najam, Aishah

Kirk, Jessica

Crews, Ladonna M.

Cole, Jennifer G.