Wiemer Family Podiatry, LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

SC004761L Issued in PA

Legal business name

WIEMER FAMILY PODIATRY, LLC

Practice address

850 W Chester Pike
Suite 200
Havertown, PA 19083-4400

Phone

(484) 453-8164

Fax

(484) 453-8291

NPI assigned

Feb 21, 2008

Last updated

Jan 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robby James Wiemer, DPMNPI 1275532079

Title

Owner

Phone

(484) 453-8164

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robby J Wiemer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Havertown, PA
  • NPI 1275532079
  Medicare reassignment NPD Authorized official
• Michael J Difrancesca, DPM

  • Primary Podiatric Medicine Podiatrist
  • Aston, PA
  • NPI 1598711954
  NPD (past)
• Joseph D Rondeau, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bryn Mawr, PA
  • NPI 1962401752
  NPD (past)
• Edward Eusebio Villanueva, DPM

  • Podiatrist
  • Drexel Hill, PA
  • NPI 1346233053

  Foot Surgery

  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1063681260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W CHESTER PIKE",
            "address_2": "SUITE 200",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834400",
            "telephone_number": "484-453-8164",
            "fax_number": "484-453-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W CHESTER PIKE",
            "address_2": "SUITE 200",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834400",
            "telephone_number": "484-453-8164",
            "fax_number": "484-453-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIEMER FAMILY PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "WIEMER",
        "authorized_official_first_name": "ROBBY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-453-8164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC004761L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018271290002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas J Whalen, DO
• Christopher Wheatley
• Robert Allan White, MD
• Gretchen Lee Whitney, MSW, LCSW
• Elizabeth Anne Wichert, RD
• Robby J Wiemer, DPM
• Wildflower Pediatric Therapy, LLC
• Dara Marie Williams Foster
• Marlene C. Williams, MT-BC
• Shanta Williams

• Foot Surgery Podiatrist in Havertown, PA
• Providers in Havertown, PA by specialty
• Foot Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.