Timothy M. Wiebe

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

15590 Issued in MS

Legal business name

TIMOTHY M. WIEBE

Practice address

103 Aldersgate Cir
Hattiesburg, MS 39402-1301

Phone

(601) 264-9009

Fax

(601) 264-9012

NPI assigned

Mar 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Mitchell Wiebe, M.D.NPI 1659428704

Title

Owner

Phone

(601) 264-9009

Specialties & licenses 1

Addresses

Other names 1

• Timothy M. Wiebe, PLLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Mitchell Wiebe, MD, FAANS

  • Neurological Surgery Physician
  • Bakersfield, CA
  • NPI 1659428704
  NPD (past) Authorized official

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1497872212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ALDERSGATE CIR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021301",
            "telephone_number": "601-264-9009",
            "fax_number": "601-264-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ALDERSGATE CIR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021301",
            "telephone_number": "601-264-9009",
            "fax_number": "601-264-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY M. WIEBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "WIEBE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-264-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MS",
            "license": "15590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timothy M. Wiebe, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Neurological Surgery Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Neurological Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.