WILLIAM THOMAS WIEDEMANN DO
NPI 1285337949
Student in an Organized Health Care Education/Training Program in Bay Shore, NY

Active since March 22, 2023
301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3970 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Student in an Organized Health Care Educ...

About WILLIAM WIEDEMANN

This page provides the complete NPI Profile along with additional information for William Wiedemann, a primary care provider established in Bay Shore, New York with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1285337949 assigned on March 2023. The practitioner's primary taxonomy code is 390200000X with license number 339318-01 (NY). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1285337949 Verify this NPI
Provider Name
WILLIAM THOMAS WIEDEMANN DO
Gender
Male
Entity Type
Individual
Location Address
301 E MAIN ST BAY SHORE, NY 11706
Location Phone
(631) 968-3970
Mailing Address
301 E MAIN ST BAY SHORE, NY 11706
Mailing Phone
(631) 968-3970
Is Sole Proprietor?
No
Enumeration Date
03-22-2023
Last Update Date
10-20-2025
Code Navigator

A primary care provider (PCP) like William Wiedemann sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License No.
339318-01
License State
NY
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Radiology (Diagnostic Radiology)
301 E MAIN ST
BAY SHORE, NY 11706
Orthopaedic Surgery
301 E MAIN ST
BAY SHORE, NY 11706
Nurse Practitioner
301 E MAIN ST
BAY SHORE, NY 11706
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Pathology (Anatomic Pathology & Clinical Pathology)
301 E MAIN ST
BAY SHORE, NY 11706
Pathology (Anatomic Pathology & Clinical Pathology)
301 E MAIN ST
BAY SHORE, NY 11706
Pathology (Anatomic Pathology & Clinical Pathology)
301 E MAIN ST
BAY SHORE, NY 11706
Psychiatry & Neurology (Psychiatry)
301 E MAIN ST
BAY SHORE, NY 11706
Pathology (Anatomic Pathology & Clinical Pathology)
301 E MAIN ST
BAY SHORE, NY 11706
Psychiatry & Neurology (Psychiatry)
301 E MAIN ST
BAY SHORE, NY 11706
Internal Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Emergency Medicine (Pediatric Emergency Medicine)
301 E MAIN ST
BAY SHORE, NY 11706
Nurse Practitioner (Psychiatric/Mental Health)
301 E MAIN ST
BAY SHORE, NY 11706
Nurse Practitioner (Psychiatric/Mental Health)
301 E MAIN ST
BAY SHORE, NY 11706
Psychiatry & Neurology (Neurology)
301 E MAIN ST
BAY SHORE, NY 11706
Radiology (Radiation Oncology)
301 E MAIN ST
BAY SHORE, NY 11706
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285337949, enumerated as an "individual" on March 22, 2023.

The provider is located at 301 E MAIN ST BAY SHORE, NY 11706 and the phone number is (631) 968-3970.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.