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

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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