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

Thomas Keith Weidman, MD

Individual provider Emergency Medicine Physician · NPI 1093971368

Thomas Keith Weidman, MD is an Emergency Medicine in Syracuse, New York. Qualified in 2007, 19 years ago. Practices with Physical Medicine and Rehab Medical Service Group, a 19-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2008
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

750 E Adams St
Syracuse, NY 13210-2342
Phone: (315) 464-6202
Fax: (315) 464-9501
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 257232 (NY)

Record details

NPI number1093971368
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2008
Last updated in NPPESOctober 21, 2010
Mailing address750 E Adams St, Syracuse, NY 13210-2342

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Physical Medicine And Rehab Medical Service Group — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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