OrganizationActive
Elderberry Health Foundation
NPI 1376258467 · Family Medicine Physician · Wilmington, DE
Provider details
- NPI number
- 1376258467
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Landon Wiedenman, Ceo(314) 788-4620
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1207 Delaware Ave #1904
Wilmington, DE 19806
Phone: (314) 788-4620
Street-level locationGet directions
Mailing address
15455 Manchester Rd #3313
Ballwin, MO 63022-5049
Other names (DBA / former)
- Doing business as
- Elderberrymd
Registry dates
- Enumerated
- 2023-01-23
- Last updated
- 2023-01-23
- Certified
- 2023-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.