Timothy M. Wiebe, M.D., a Professional Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

TIMOTHY M. WIEBE, M.D., A PROFESSIONAL CORPORATION

Practice address

3545 San Dimas St
Bakersfield, CA 93301-1605

Phone

(661) 323-1947

Fax

(661) 323-1904

NPI assigned

Jan 11, 2018

Organization subpart

No

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

Authorized official

Name

Timothy Mitchell Wiebe, MDNPI 1659428704

Title

President

Phone

(661) 331-4754

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1588172548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 NICKAM CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111819",
            "telephone_number": "661-331-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011605",
            "telephone_number": "661-323-1947",
            "fax_number": "661-323-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY M. WIEBE, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "WIEBE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-331-4754",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Tilch, OT
• Debora Anne Tillett, MFT INTERN
• Bora Timkin, MD
• Andrew M Timmerman
• Timothy Galan, M.D., Inc
• Sabrina Tinajero
• Tiner Dental Corporation
• Peggy K Ting
• Ramon Tinoco Perez
• Graciela M Tinoco

• Medical Specialty Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.