Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Ann Weidaw, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1467471607

Blake Ann Weidaw, MD is an Obstetrics/Gynecology in Austin, Texas. Graduated from Northeastern Ohio University College of Medicine in 2002, 24 years ago. Practices with Privia Medical Group Gulf Coast PLLC, a 538-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
24
Trained at
Northeastern Ohio University College of Medicine
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4201 Marathon Blvd Ste 300
Austin, TX 78756-3410
Phone: (512) 458-6060
Fax: (512) 458-6070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence M4405 (TX)

Record details

NPI number1467471607
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address4201 Marathon Blvd Ste 300, Austin, TX 78756-3410

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Privia Medical Group Gulf Coast Pllc — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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