Individual provider Active NPI

Ronald Wiewora, M.D

  • Public Health & General Preventive Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1295949758
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
ME39948 Issued in FL
Practice address
324 Datura St
Suite 401
West Palm Beach, FL 33401-5414
Phone
(561) 659-1270
Fax
(561) 802-3968
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 39948 FL
Public Health & General Preventive Medicine Physician 2083P0901X ME39948 FL Primary

Addresses

Primary practice location

324 Datura St
Suite 401
West Palm Beach, FL 33401-5414

Mailing address

324 Datura St
Suite 401
West Palm Beach, FL 33401-5414
Phone (561) 659-1270

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 39948FLMDInternal Medicine Physician
ME39948FLMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Care District of Palm Beach County Past Accepting new patients
District Hospital Holdings Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1295949758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 DATURA ST",
            "address_2": "SUITE 401",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015414",
            "telephone_number": "561-659-1270",
            "fax_number": "561-802-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 DATURA ST",
            "address_2": "SUITE 401",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015414",
            "telephone_number": "561-659-1270",
            "fax_number": "561-802-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEWORA",
        "first_name": "RONALD",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 39948",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME39948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.