Edward L Wiebe DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0076 Issued in AZ

Legal business name

EDWARD L WIEBE DPM PC

Practice address

8 W Columbus Ave
Flagstaff, AZ 86001-3202

Phone

(928) 226-7555

Fax

(928) 226-0014

NPI assigned

Sep 22, 2011

Last updated

Sep 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward L Wiebe, DPMNPI 1316908882

Title

President

Phone

(928) 226-7555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Louis Wiebe, DPM

  • Foot & Ankle Surgery Podiatrist
  • Flagstaff, AZ
  • NPI 1316908882
  Authorized official Same address or phone

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1598048837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W COLUMBUS AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013202",
            "telephone_number": "928-226-7555",
            "fax_number": "928-226-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W COLUMBUS AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013202",
            "telephone_number": "928-226-7555",
            "fax_number": "928-226-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD L WIEBE DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "WIEBE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-226-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl L Eccleston, LMT
• Rachelle Dana Eddie, PA-C
• Regina Stephanie Eddie, RN
• Glenn Edgerton, EDD, LAT
• Sarah A. Edmonds, PHD
• Brooke Edwards, PHD
• Kyle Collingwood Edwards, D.O.
• Michael Edwards, PMHNP
• Patricia Lucene Edwards, BSN/CNOR/CRNFA
• Tonya Ivanov Edwards, D.O.

• Foot & Ankle Surgery Podiatrist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.