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

Dr. Kimberly Weidenbach, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902303621

Dr. Kimberly Weidenbach, MD is an Emergency Medicine in Phoenix, Arizona. Graduated from Creighton University School of Medicine in 2021, 5 years ago. Practices with Cep America- Arizona, PC, a 88-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Trained at
Creighton University School of Medicine
Licensed in
AZ
In the registry since
2018
Specialties on file
2
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

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 63867 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902303621
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021
Mailing address2601 E Roosevelt St, Phoenix, AZ 85008-4973

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Cep America- Arizona, Pc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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