Active NPI
Nelson E. Wiegman, MD
- Orthopaedic Surgery Physician
- Lowville, NY
National Provider Identifier
1316996119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 303847
- Practice address
- 7785 N State St Ste 120
Lowville, NY 13367-1229 - Phone
- (315) 376-4505
- Fax
- (315) 376-4259
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | C1-0003720 | DE | |
| Orthopaedic Surgery Physician | 207X00000X | D83131 | MD | |
| Orthopaedic Surgery Physician | 207X00000X | 303847 | NY | Primary |
Addresses
Primary practice location
7785 N State St Ste 120
Lowville, NY 13367-1229
Mailing address
7785 N State St Ste 120
Lowville, NY 13367-1297
Phone (315) 376-4505
Other practice location 1
1016 Mattlind Way
Milford, DE 19963-5300
Phone (302) 503-2300
Other practice location 2
11110 Medical Campus Rd
Suite 205
Hagerstown, MD 21742-6700
Phone (301) 665-4950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000301601 | Medicaid | DE |
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 |
|---|---|---|---|
| C1-0003720 | DE | MD | Orthopaedic Surgery Physician |
| D83131 | MD | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1316996119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7785 N STATE ST STE 120",
"city": "LOWVILLE",
"state": "NY",
"postal_code": "133671297",
"telephone_number": "315-376-4505",
"fax_number": "315-376-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7785 N STATE ST STE 120",
"city": "LOWVILLE",
"state": "NY",
"postal_code": "133671229",
"telephone_number": "315-376-4505",
"fax_number": "315-376-4259"
}
],
"practiceLocations": [
{
"address_1": "1016 Mattlind Way",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "DE",
"postal_code": "199635300",
"country_code": "US",
"telephone_number": "302-503-2300",
"fax_number": "302-424-9212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11110 Medical Campus Rd",
"address_2": "Suite 205",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217426700",
"country_code": "US",
"telephone_number": "301-665-4950",
"fax_number": "301-665-4956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIEGMAN",
"first_name": "NELSON",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "DE",
"license": "C1-0003720",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "D83131",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "303847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000301601",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.