Scott L Wiesen MD LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME53124 Issued in FL

Legal business name

SCOTT L WIESEN MD LLC

Practice address

625 Tamiami TRL N
Suite 304
Naples, FL 34102-8143

Phone

(239) 775-4444

Fax

(239) 775-4445

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Scott L Wiesen, M.D.

Title

President

Phone

(239) 775-4444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1235448184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 9TH ST N",
            "address_2": "SUITE 304",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341028143",
            "telephone_number": "239-775-4444",
            "fax_number": "239-775-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 TAMIAMI TRL N",
            "address_2": "SUITE 304",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341028143",
            "telephone_number": "239-775-4444",
            "fax_number": "239-775-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT L WIESEN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "WIESEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-775-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME53124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina E Sciavolino-Day, MD
• April Scoles, BEHAVIOR TECHNICIAN
• Noelle Marie Scolieri, M.S. CF-SLP
• Scott Deboccio DMD PA
• Scott Delboccio PA
• David Alan Scott, D. O.
• Elbert Ernest Scott, APRN
• Amy Seaburg
• Seaside Surgery Center, LLC
• Christopher Gordon Seavey, LMHC

• Gastroenterology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.