William J Wiedemer, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC004522L Issued in PA

Practice address

711 Logan Blvd
Altoona, PA 16602-4165

Phone

(814) 943-3668

Fax

(814) 942-7635

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gary a Raymond DPM PCGroup PAC ID 4587553607, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Altoona Hospital, Altoona, PA, CCN 390073

Merit-based Incentive Payment System (MIPS)

Final score

90.17 of 100Reported as group

Quality

70.35

Improvement activities

40

Cost

87.76

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: williamwiedemerdpm@advancedregionalcenter.medentdirect.com

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.

• Gary a Raymond, DPM PC

  • Podiatrist
  • Altoona, PA
  • NPI 1568400521
  Medicare reassignment Care Compare group NPD
• Gary a Raymond, DPM, PC

  • Podiatrist
  • Ebensburg, PA
  • NPI 1922248954
  NPD
• MLG Podiatry Inc

  • Podiatrist
  • Pittsburgh, PA
  • NPI 1265468482
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• Upmc Altoona

  • Ambulatory Surgical Clinic/Center
  • Altoona, PA
  • NPI 1114926953

  Hospital

  Care Compare affiliation
• Upmc Altoona

  • Non-Surgical Family Planning Clinic/Center
  • Altoona, PA
  • NPI 1457303885

  Hospital

  Care Compare affiliation
• Upmc Altoona

  • General Acute Care Hospital
  • Altoona, PA
  • NPI 1649278730
  Care Compare affiliation
• Upmc Altoona

  • Psychiatric Hospital Unit
  • Altoona, PA
  • NPI 1699773465
  Care Compare affiliation

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1528027794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 LOGAN BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024165",
            "telephone_number": "814-943-3668",
            "fax_number": "814-942-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 LOGAN BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024165",
            "telephone_number": "814-943-3668",
            "fax_number": "814-942-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDEMER",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004522L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD INDV",
            "identifier": "000505853",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHLD GRP",
            "identifier": "000546370",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018087500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Whitesell
• Taya Lynn Whitfield
• Kathy Elaine Whysong, RPH
• Ashtyn T Whyte
• Amanda Jun Wible, LSW
• Axelle Lourdes Wiegering, D.M.D.
• Carlos Martin Wiegering, D.C.
• Lauren Wiegman, PT, DPT, CKTP
• Meghan Elizabeth Wilburn
• Mary Oleary Wiley, PHD

• Podiatrist in Altoona, PA
• Providers in Altoona, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.