Individual provider Active NPI

Nelson E. Wiegman, MD

  • Orthopaedic Surgery Physician
  • Lowville, NY
National Provider Identifier
1316996119
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
303847 Issued in NY
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

Updated by the provider on May 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000301601MedicaidDE

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

LicenseStateTypeSpecialty
C1-0003720DEMDOrthopaedic Surgery Physician
D83131MDMDOrthopaedic 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.

Verify at the official NPI Registry.