Edward Louis Wiebe, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0076 Issued in AZ

Practice address

8 W Columbus Ave
Flagstaff, AZ 86001-3202

Phone

(928) 774-4825

Fax

(928) 779-1008

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1316908882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W COLUMBUS AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013202",
            "telephone_number": "928-226-7555",
            "fax_number": "928-226-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W COLUMBUS AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013202",
            "telephone_number": "928-774-4825",
            "fax_number": "928-779-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBE",
        "first_name": "EDWARD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700270-001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ID#",
            "identifier": "AZ0065350",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Lawrence Whitfield, M.D., PH.D.
• McKenzie Lee-Wilkin Whiting, M.S. CCC-SLP
• Paul David Whitney, DDS
• Kelty Wickham
• Bridget Marie Wicks, FNP
• Gretchen Wilce, OTR
• Sage Wilcox
• V Bruce Wilcox, DMD
• Lee Rose Wilde
• Wilkens Chiropractic

• Foot & Ankle Surgery Podiatrist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.