Individual provider Active NPI

James S Wiedower, MD

  • Surgery Physician
  • Boyce, VA
National Provider Identifier
1144215609
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101031439 Issued in VA
Practice address
9800 John Mosby Hwy
Boyce, VA 22620-2001
Phone
(540) 837-3116
NPI assigned
Sep 12, 2005
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101031439 VA Primary

Addresses

Primary practice location

9800 John Mosby Hwy
Boyce, VA 22620-2001

Mailing address

9800 John Mosby Hwy
Boyce, VA 22620-2001
Phone (540) 837-3116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101031439VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Enterprise, Inc Surgery Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Valley Physician Enterprise, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1870 Amherst St
Ste C
Winchester, VA 22601
Phone (540) 536-0153

1870 Amherst St
Ste F
Winchester, VA 22601
Phone (540) 536-0010

190 Campus Blvd
Ste 310
Winchester, VA 22601
Phone (540) 536-0130

220 Campus Blvd
Ste 100
Winchester, VA 22601

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1144215609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 JOHN MOSBY HWY",
            "city": "BOYCE",
            "state": "VA",
            "postal_code": "226202001",
            "telephone_number": "540-837-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 JOHN MOSBY HWY",
            "city": "BOYCE",
            "state": "VA",
            "postal_code": "226202001",
            "telephone_number": "540-837-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDOWER",
        "first_name": "JAMES",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101031439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyce, VA

Sources for this page

Verify at the official NPI Registry.