Amy Gleason Wiegandt

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

57120 Issued in MA

Legal business name

AMY GLEASON WIEGANDT

Practice address

2621 Cranberry Hwy
Wareham, MA 02571-1004

Phone

(508) 295-4902

Fax

(508) 295-2455

NPI assigned

Aug 29, 2007

Last updated

Aug 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy Gleason Wiegandt, MDNPI 1285692525

Title

Owner

Phone

(508) 295-4902

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Gleason Wiegandt, MD

  • Internal Medicine Physician
  • Wareham, MA
  • NPI 1285692525
  Authorized official Same address or phone

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1447444740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 CRANBERRY HWY",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711004",
            "telephone_number": "508-295-4902",
            "fax_number": "508-295-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 CRANBERRY HWY",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711004",
            "telephone_number": "508-295-4902",
            "fax_number": "508-295-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY GLEASON WIEGANDT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "WIEGANDT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "GLEASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-295-4902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "57120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S Adelstein, D.O.
• Toni Aiduk, LICSW
• Katie Maureen Akley, PHARM. D.
• Ashley L Albano
• Pilar Alonso, M.D.
• Bruce Nelson Anderson, D.M.D.
• Michelle L Anderson, NP
• Wendell Gross Anderson, DMD
• Dante Jay Andrade
• Shannon Joy Antonio, LPN

• Internal Medicine Physician in Wareham, MA
• Providers in Wareham, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.