Timothy Mitchell Wiebe, MD, FAANS

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A53943 Issued in CA

Practice address

3545 San Dimas St
Bakersfield, CA 93301-1605

Phone

(661) 323-1947

Fax

(661) 323-1904

NPI assigned

Jan 4, 2007

Last updated

Mar 8, 2018By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurosurgery

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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

  • Medical Specialty Clinic/Center
  • Bakersfield, CA
  • NPI 1588172548
  Medicare reassignment NPD Authorized official
• Timothy M. Wiebe

  • Neurological Surgery Physician
  • Hattiesburg, MS
  • NPI 1497872212
  NPD (past) Authorized official
• McComb Neurology, PA

  • Neurology Physician
  • McComb, MS
  • NPI 1073717302
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1659428704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9663",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933899663",
            "telephone_number": "661-861-0011",
            "fax_number": "661-861-1011"
        },
        {
            "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": {
        "last_name": "WIEBE",
        "first_name": "TIMOTHY",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "MD, FAANS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A53943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053345991",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wholly Womb LLC
• Kathryn F Whyte
• Wible Pharmacy Inc
• Jeffrey Stephen Wick, MD
• Jill Wideman, RN
• Martha Ann Wiedman, M.D.
• Sabrina L Wieseler, COTA/L
• Maricris Wilbur
• Ronald Wilbur
• Julie Marie Wilcox, M.D.

• Neurological Surgery Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.