Eric Alan Wiebke, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1039431A Issued in IN

Practice address

545 Barnhill Drive
Eh 5TH Floor University Surgeons, Inc
Indianapolis, IN 46202-5125

Phone

(317) 274-3086

Fax

(317) 274-0241

NPI assigned

Apr 27, 2006

Last updated

Jul 1, 2010By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• University General Surgeons, Inc.

  • Surgery Physician
  • Indianapolis, IN
  • NPI 1811019847
  NPD (past)
• University Surgeons, Inc.

  • Surgery Physician
  • Indianapolis, IN
  • NPI 1316966229
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1033176672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BARNHILL DRIVE",
            "address_2": "EH 5TH FLOOR UNIVERSITY SURGEONS, INC",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025125",
            "telephone_number": "317-274-4990",
            "fax_number": "317-274-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BARNHILL DRIVE",
            "address_2": "EH 5TH FLOOR UNIVERSITY SURGEONS, INC",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025125",
            "telephone_number": "317-274-3086",
            "fax_number": "317-274-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBKE",
        "first_name": "ERIC",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "1039431A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100354900",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wicz LLC (Brodowicz Family Dentistry)
• Krystal Althea Renner Widau, D.O.
• Barry Craig Widdicombe, D.D.S.
• Dorota Widelka
• Meghan Elizabeth Widrig, NP
• Michelle Wiebke
• Wiecare Home Care LLC
• Clara Wieczorek
• Stephanie S Wieczorek, AUD
• Sydney Wiedeman

• Surgery Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.