Active NPI
Jeanie A Wiest, MD
- Geriatric Psychiatry Physician
- Buckhannon, WV
National Provider Identifier
1164593265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 09933
- Practice address
- 20 Mount Vista Dr
Buckhannon, WV 26201-9402 - Phone
- (304) 472-4427
- Fax
- (304) 472-4474
- NPI assigned
- Nov 11, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 09933 | WV | Primary |
Addresses
Primary practice location
20 Mount Vista Dr
Buckhannon, WV 26201-9402
Mailing address
20 Mount Vista Dr
Buckhannon, WV 26201-9402
Phone (304) 472-4427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0046903000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09933 | WV | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Community Health Center | Past | Accepting new patients | |
| Appalachian Community Health Center | Past | Accepting new patients | |
| Pearson Family Medicine, PLLC | Past | Accepting new patients | |
| Appalachian Community Health Center | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Belington, WV
- NPI 1073703609
-
- Community/Behavioral Health Agency
- Parsons, WV
- NPI 1083804611
-
- Community/Behavioral Health Agency
- Buckhannon, WV
- NPI 1346430352
-
- Family Medicine Physician
- Buckhannon, WV
- NPI 1750552345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1164593265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MOUNT VISTA DR",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262019402",
"telephone_number": "304-472-4427",
"fax_number": "304-472-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MOUNT VISTA DR",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262019402",
"telephone_number": "304-472-4427",
"fax_number": "304-472-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEST",
"first_name": "JEANIE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-11",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "WV",
"license": "09933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0046903000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.