Richard Allen Wiethoff, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01024324 Issued in IN

Practice address

225 S Pine St Suite 310
Seymour, IN 47274

Phone

(812) 522-2177

Fax

(812) 522-4069

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• General & GYN Surgery, PC

  • Surgery Physician
  • Seymour, IN
  • NPI 1689690141
  NPD (past) Authorized official
• Jackson County Schneck Memorial Hospital

  • Anesthesiology Physician
  • Seymour, IN
  • NPI 1629143037
  NPD (past)
• Seymour Indiana Pathologists, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Seymour, IN
  • NPI 1124237987
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164581450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 BELL FORD DR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "47274",
            "telephone_number": "812-522-2177",
            "fax_number": "812-522-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S PINE ST SUITE 310",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "47274",
            "telephone_number": "812-522-2177",
            "fax_number": "812-522-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIETHOFF",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01024324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "00000084530",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20000020A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amaya Jolynn White, RBT
• Megan White, LCSW
• Lynnette Caudill Wickliff, RN, MSN, FNP
• Jacob Dean Wiegand
• Makenze Taylor Wieneke, NP
• Kristopher Michael Williams, DO
• Stephanie L. Williams, DO
• David S Wilson, MD
• Emily Marie Wilson, RBT
• Matthew C Wilson, D.O.

• Surgery Physician in Seymour, IN
• Providers in Seymour, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.