Jonathan Wiemken, ATC/L

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

24-01748 Issued in KS

Practice address

2425 Venture Park Dr
Lawrence, KS 66046-5513

Phone

(260) 846-1068

NPI assigned

Sep 2, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1134038516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 STATE AVE APT 1-610",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661123016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 VENTURE PARK DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660465513",
            "telephone_number": "260-846-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEMKEN",
        "first_name": "JONATHAN",
        "credential": "ATC/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "KS",
            "license": "24-01748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley D Wiles, M.S.
• Mark A Wiles, MD
• Brian Charles Wilkerson, D.D.S.
• Briana Wilkerson

• Sports Medicine (Emergency Medicine) Physician in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Sports Medicine (Emergency Medicine) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.