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

Mr. Philip Louis Weidner II, PA-C

Individual provider Physician Assistant · NPI 1295037844

Mr. Philip Louis Weidner II, PA-C is a Physician Assistant in Lewiston, Idaho. Graduated from University of Washington School of Medicine in 2010, 16 years ago. Practices with St Joseph Hospital LLC, a 90-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
16
Trained at
University of Washington School of Medicine
Licensed in
ID, WA
In the registry since
2010
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

320 Warner Dr
Lewiston, ID 83501-4441
Phone: (208) 743-3523
Fax: (833) 941-3874
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2065 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA60191252 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-2065 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-2065 (ID)

Record details

NPI number1295037844
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2010
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice St Joseph Hospital Llc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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