NPIMap

Individual provider Active NPI

Jeffrey M Wieland, M.D.

  • Cardiovascular Disease Physician
  • Salisbury, MD
National Provider Identifier
1336124171
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D34768 Issued in MD
Practice address
400 Eastern Shore Dr
Salisbury, MD 21804-5565
Phone
(410) 749-8906
Fax
(410) 219-5662
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D34768 MD Primary

Addresses

Primary practice location

400 Eastern Shore Dr
Salisbury, MD 21804-5565

Mailing address

400 Eastern Shore Dr
P.O. Box 49
Salisbury, MD 21804-5565
Phone (410) 749-8906

Other identifiers 1

IdentifierTypeStateIssuer
280131100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061122000302 MD Practitioner - Cardiovascular Disease (Cardiology) 7315945581 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

400 Eastern Shore Dr
Tidalhealth Cardiology
Salisbury, MD 21804-5513
Phone (410) 749-8906

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D34768MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic General Hospital Corporation Current Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Dec 8, 2010 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Atlantic General Hospital Corp CurrentSince Dec 8, 2010 Accepting new patients
Tidalhealth Specialty Care, LLC Past Accepting new patients

Locations

314 Franklin Ave
Berlin, MD 21811
Phone (410) 641-0277

314 Franklin Ave
Ste 402
Berlin, MD 21811
Phone (410) 641-2236

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1336124171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EASTERN SHORE DR",
            "address_2": "P.O. BOX 49",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045565",
            "telephone_number": "410-749-8906",
            "fax_number": "410-219-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045565",
            "telephone_number": "410-749-8906",
            "fax_number": "410-219-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELAND",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D34768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280131100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.