Active NPI
Gregory L. Wiemken, DPM
- Podiatrist
- Strongsville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2702
- Practice address
- 15294 Pearl Rd
Strongsville, OH 44136-5021 - Phone
- (440) 238-1560
- Fax
- (440) 238-9091
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2702 | OH | Primary |
Addresses
Primary practice location
15294 Pearl Rd
Strongsville, OH 44136-5021
Mailing address
16000 Pearl Rd Ste 105
Strongsville, OH 44136-6094
Phone (440) 238-1560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0827109 | Medicaid | OH | |
| 480029644 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15294 Pearl Rd
Strongsville, OH 44136-5021
Phone (440) 238-1560
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 43 |
| Removal of skin lesions | 21 |
| Removal of nail tissue | 1003 |
| Removal or shaving of skin growth | 531 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2702 | OH | MD | Podiatrist |
Interoperability endpoints
- gwiemken@direct.swgeneral.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Altenheim Nursing Home | Skilled nursing facility | Corporate Director (6.66%) | Jun 24, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Strongsville, OH
- NPI 1053387449
Corporate Director
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Strongsville, OH
- NPI 1104969948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1104969609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16000 PEARL RD STE 105",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441366094",
"telephone_number": "440-238-1560",
"fax_number": "440-238-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15294 PEARL RD",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441365021",
"telephone_number": "440-238-1560",
"fax_number": "440-238-9091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEMKEN",
"first_name": "GREGORY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "2702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0827109",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480029644",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Strongsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.