Active NPI
H.J. Wiens, M.D.,P.C.
- Family Medicine Physician
- Mesa, AZ
National Provider Identifier
1629085733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13419
- Legal business name
- H.J. WIENS, M.D.,P.C.
- Practice address
- 5432 E Southern Ave Ste 101
Mesa, AZ 85206-2772 - Phone
- (480) 325-3275
- Fax
- (480) 981-9123
- NPI assigned
- Aug 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelly Leonard
- Title
- Office Manager
- Phone
- (480) 654-2173
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13419 | AZ | Primary |
Addresses
Primary practice location
5432 E Southern Ave Ste 101
Mesa, AZ 85206-2772
Mailing address
5432 E Southern Ave Ste 101
Mesa, AZ 85206-2772
Phone (480) 325-3275
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1396701785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185840000000",
"number": "1629085733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5432 E SOUTHERN AVE STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852062772",
"telephone_number": "480-325-3275",
"fax_number": "480-981-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5432 E SOUTHERN AVE STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852062772",
"telephone_number": "480-325-3275",
"fax_number": "480-981-9123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H.J. WIENS, M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-31",
"status": "A",
"authorized_official_last_name": "LEONARD",
"authorized_official_first_name": "SHELLY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "480-654-2173"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "13419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.