Individual provider Active NPI

Jason Scott Wieman, M.D.

  • Family Medicine Physician
  • Harker Heights, TX
National Provider Identifier
1508847294
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4294 Issued in TX
Practice address
2025 Memory LN
Harker Heights, TX 76548-7487
Phone
(806) 810-0585
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042972 GA
Public Health & General Preventive Medicine Physician 2083P0901X K4294 TX
Family Medicine Physician 207Q00000X K4294 TX Primary

Addresses

Primary practice location

2025 Memory LN
Harker Heights, TX 76548-7487

Mailing address

2025 Memory LN
Harker Heights, TX 76548-7487
Phone (068) 100-5858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319000103 TX Order and Referring Only - Family PracticePractitioner - Family Practice 7012354699

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042972GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roman Family Practice, PLLC Current Accepting new patients
Katie'S Way El Paso PLLC PastSince Jun 1, 2021 Accepting new patients

Locations

2030 Heights Dr
Ste 3
Harker Heights, TX 76548
Phone (254) 554-8668

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1508847294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 MEMORY LN",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765487487",
            "telephone_number": "068-100-5858",
            "fax_number": "806-517-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 MEMORY LN",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765487487",
            "telephone_number": "806-810-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEMAN",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042972",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "K4294",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.