Active NPI
Jeffery Wieland, DPM
- Foot & Ankle Surgery Podiatrist
- Chardon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36-00-3359
- Practice address
- 325 Center St
Ste 1
Chardon, OH 44024 - Phone
- (440) 285-2666
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36-00-3359 | OH | Primary |
Addresses
Primary practice location
325 Center St
Ste 1
Chardon, OH 44024
Mailing address
PO Box 483
Chardon, OH 44024-0483
Phone (440) 285-2666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2426682 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12301 Ridge Rd
North Royalton, OH 44133-3744
Phone (216) 331-6750
6789 Ridge Rd
Suite 305
Parma, OH 44129-5635
Phone (440) 491-8334
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 656 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Consultants LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Encore Clinical Services LLC | Current | Accepting new patients | |
| Lake Effect Health | Current | Accepting new patients | |
| Lake County Foot & Ankle Associates, LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Lake County Foot & Ankle Associates, LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Precision Orthopaedic Specailties, Inc. | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750
6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334
Organizations & group practices 6
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.
-
dba Medarbor Clinical Services
- Nurse Practitioner
- North Royalton, OH
- NPI 1184346140
-
- Foot & Ankle Surgery Podiatrist
- Parma, OH
- NPI 1831495373
-
- Nurse Practitioner
- Cleveland, OH
- NPI 1780156984
-
- Foot & Ankle Surgery Podiatrist
- Wadsworth, OH
- NPI 1154128064
-
dba Foot & Ankle Specialists of Ohio, LLC
- Foot & Ankle Surgery Podiatrist
- Mentor, OH
- NPI 1770605347
-
- Orthopaedic Surgery Physician
- Brooklyn, OH
- NPI 1659571776
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1578568093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 483",
"city": "CHARDON",
"state": "OH",
"postal_code": "440240483",
"telephone_number": "440-285-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 CENTER ST",
"address_2": "STE 1",
"city": "CHARDON",
"state": "OH",
"postal_code": "44024",
"telephone_number": "440-285-2666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIELAND",
"first_name": "JEFFERY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36-00-3359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2426682",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.