James W. Wieters, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

054584 Issued in IA

Practice address

1515 Delhi St Suite 300
Dubuque, IA 52001-6320

Phone

(563) 557-8500

Fax

(563) 589-4050

NPI assigned

Feb 3, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Dodge Street Anesthesiologists PC

  • Anesthesiology Physician
  • Dubuque, IA
  • NPI 1972533040

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1306818299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DELHI ST SUITE 300",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016320",
            "telephone_number": "563-557-8500",
            "fax_number": "563-589-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DELHI ST SUITE 300",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016320",
            "telephone_number": "563-557-8500",
            "fax_number": "563-589-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIETERS",
        "first_name": "JAMES",
        "middle_name": "W.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "054584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43330700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Thomas Scott Whitney, PH.D.
• Susan Renee Whitty, ARNP
• Amanda Wiedemeier, PHARMD
• Theresa Wiegman, RN
• Jon Davis Wiese, MD
• Wildflower Kids Dentistry PLLC
• Wildflower Wellness LLC
• Catherine Mary Wilhelm, OTR/L
• Sarah Will, PTA
• William C. Kuttler, D.D.S., P.C.

• Certified Registered Nurse Anesthetist in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.