Gregory L. Wiemken, DPM, Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2702 Issued in OH

Legal business name

GREGORY L. WIEMKEN, DPM, INC.

Practice address

15294 Pearl Rd
Strongsville, OH 44136-5021

Phone

(440) 238-1560

Fax

(440) 238-9091

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Wiemken, DPMNPI 1104969609

Title

President

Phone

(440) 238-1560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory L. Wiemken, DPM

  • Podiatrist
  • Strongsville, OH
  • NPI 1104969609
  Medicare reassignment Care Compare group Authorized official
• Bradley Wiemken

  • Foot & Ankle Surgery Podiatrist
  • Strongsville, OH
  • NPI 1679148480
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1104969948",
    "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": {
        "organization_name": "GREGORY L. WIEMKEN, DPM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "WIEMKEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-238-1560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "2702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Podiatrist in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.