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

Dr. Scott David Wiedenmann, MD

Individual provider Diagnostic Radiology Physician · NPI 1245340744

Dr. Scott David Wiedenmann, MD is a Diagnostic Radiology Physician in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

128 Lagoon Forest Dr
Ponte Vedra Beach, FL 32082-2122
Phone: (904) 273-9591
Fax: (904) 273-9591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME51674 (FL)

Record details

NPI number1245340744
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESMarch 24, 2012

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