Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174624761 Individual Practitioner Male Practitioner

Dr. Kenneth C Weimer , MD

Pediatrics • Mankato, MN

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Weimer, MD is a registered healthcare professional specializing in Pediatrics in Mankato, MN. Practice services are available at 1025 MARSH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1025 Marsh St

Mankato, MN 560014752

Telephone 5076254031
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mankato, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.4 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
27 Specialists

Practicing in Mankato, MN (1325 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 56450

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License AZ 52805

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WI 43671

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

State License MN 56450

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Secondary Practice Locations

2510 W Dunlap Ave, Ste 290

Phoenix, AZ 850212737

Phone: 6027890344

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kristin Clifford , CNP

Nurse Practitioner

NPI 1003508318

Certified Nurse Practitioner

Elizabeth Cumberland , NP

Nurse Practitioner - Family

NPI 1013359108

Nurse Practitioner

Omar Ferrer , ARNP

Nurse Practitioner

NPI 1013576594

Advanced Registered Nurse Practitioner

Sharon Brandt , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013989169

Certified Registered Nurse Anesthetist

Dr. Ripudamanjit Singh , MD

Internal Medicine - Interventional Cardiology

NPI 1013993930

Doctor of Medicine (M.D.)

NPI 1023019734

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2020

Pediatrics (License #52805 in AZ)

📍
Updated Business Mailing Address June 12, 2019

Registered at 1025 MARSH ST, MANKATO, MN 560014752 (Tel: 5076254031)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2019

Pediatrics (License #56450 in MN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pediatrics (License #43671 in WI)

NPI Profile Active October 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2017

Registered at 1025 MARSH ST, MANKATO, MN 560014752 (Tel: 5076254031)

📍
Updated Business Mailing Address October 30, 2017

Registered at 2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 850212737 (Tel: 6027890344)

👤
Provider Name / Credentials Updated October 30, 2017

Recorded as KENNETH WEIMER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2017

Pediatrics (License #56450 in MN)

NPI Profile Active October 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2016

Registered at 2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 850212737 (Tel: 6027890344)

📍
Updated Business Mailing Address October 19, 2016

Registered at 2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 850212737 (Tel: 6027890344)

👤
Provider Name / Credentials Updated October 19, 2016

Recorded as KENNETH WEIMER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2016

Pediatrics (License #52805 in AZ)

🟢
Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174624761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: September 18, 2020
Sole Proprietor: No

Mailing Address

1025 Marsh St

Mankato, MN 560014752

Phone: 5076254031

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.