Active NPI
Richard A. Wiemer, PA-C
- Physician Assistant
- Blue Hill, ME
National Provider Identifier
1679504195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-342
- Practice address
- 57 Water Street
Blue Hill, ME 04614 - Phone
- (207) 374-3911
- Fax
- (207) 374-3986
- NPI assigned
- Jul 5, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-342 | ME | Primary |
Addresses
Primary practice location
57 Water Street
Blue Hill, ME 04614
Mailing address
PO Box 1029
Blue Hill, ME 04614-1029
Phone (207) 374-3911
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287100099 | Medicaid | ME | |
| AP041801 | Other | ME | MED B - MCMH |
| AP041802 | Other | ME | MED B - MCMH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-342 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Blue Hill Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Blue Hill, ME
- NPI 1023057809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1679504195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1029",
"city": "BLUE HILL",
"state": "ME",
"postal_code": "046141029",
"telephone_number": "207-374-3911",
"fax_number": "207-374-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 WATER STREET",
"city": "BLUE HILL",
"state": "ME",
"postal_code": "04614",
"telephone_number": "207-374-3911",
"fax_number": "207-374-3986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEMER",
"first_name": "RICHARD",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA-342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287100099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED B - MCMH",
"identifier": "AP041801",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED B - MCMH",
"identifier": "AP041802",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Hill, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.