Gregory L Wiedel, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3959 Issued in SD

Practice address

455 Kansas Ave SE
Huron, SD 57350-2522

Phone

(605) 352-8767

Fax

(605) 352-8784

NPI assigned

Jun 17, 2005

Last updated

Nov 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Huron Regional Medical Center Inc

  • Critical Access Hospital
  • Huron, SD
  • NPI 1154312429
  Medicare reassignment NPD
• Huron Laboratory SVC PC

  • Anatomic Pathology Physician
  • Huron, SD
  • NPI 1437155744
  NPD
• Huron Regional Medical Center, Inc

  • Critical Access Hospital Clinic/Center
  • Huron, SD
  • NPI 1376779777
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1033114871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1411",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573501411",
            "telephone_number": "605-352-8767",
            "fax_number": "605-352-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 KANSAS AVE SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502522",
            "telephone_number": "605-352-8767",
            "fax_number": "605-352-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDEL",
        "first_name": "GREGORY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "3959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110105454",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002990",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "3959",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "0003961",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc. (Walmart Pharmacy 10-3853)
• Edith Ann Weiss-Holzbauer, CNM
• Lori Welch, DPT
• Rhonda Wellsandt-Zell, MS
• Kristin Wheeler, MA
• Melita Wiedenman, M.S., R.D., L.N.
• Ralph Thomas Wiedmann, LMT
• William a Cahill DDS
• Bruce Dale Wintle, DDS
• Wise Imaging Inc (Huron Imaging)

• Internal Medicine Physician in Huron, SD
• Providers in Huron, SD by specialty
• Internal Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.