Individual provider Active NPI

Seth Jordan Wimbley, DPM

  • Podiatrist
  • Norton Shores, MI
National Provider Identifier
1710623236
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901400596 Issued in MI
Practice address
1450 Farr Rd
Norton Shores, MI 49444-9770
Phone
(231) 739-7606
NPI assigned
May 8, 2022
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901400596 MI Primary
Podiatrist 213E00000X SC007532 PA

Addresses

Primary practice location

1450 Farr Rd
Norton Shores, MI 49444-9770

Mailing address

PO Box 848168
Los Angeles, CA 90084-8168
Phone (231) 739-7606

Other practice location 1

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 757-3537

Other practice location 2

1042 Lititz Pike
Lititz, PA 17543-9328
Phone (717) 757-3537

Other practice location 3

2300 Pleasant Valley Rd
York, PA 17402-9627
Phone (717) 757-3537

Other practice location 4

207 Blooming Grove Rd
Hanover, PA 17331-7917
Phone (717) 757-3537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250721002904 PA Practitioner - Podiatry 2264810712 Reassigns benefits to 1 organization
I20260608001138 MI Practitioner - Podiatry 2264810712

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2300 Pleasant Valley Rd
York, PA 17402-9627
Phone (717) 757-3537

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue29
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients

Locations

207 Blooming Grove Rd
Hanover, PA 17331
Phone (717) 637-6356

35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785

1042 Lititz Pike
Lititz, PA 17543

1600 S George St
York, PA 17403
Phone (717) 848-3615

2300 Pleasant Valley Rd
York, PA 17402
Phone (717) 812-5121

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: swimbley486278@wellspan.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1651968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1710623236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848168",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900848168",
            "telephone_number": "231-739-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 FARR RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494449770",
            "telephone_number": "231-739-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-757-3537",
            "fax_number": "717-718-8665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1042 Lititz Pike",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439328",
            "country_code": "US",
            "telephone_number": "717-757-3537",
            "fax_number": "717-718-8665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174029627",
            "country_code": "US",
            "telephone_number": "717-757-3537",
            "fax_number": "717-718-8665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Blooming Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173317917",
            "country_code": "US",
            "telephone_number": "717-757-3537",
            "fax_number": "717-718-8665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMBLEY",
        "first_name": "SETH",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-08",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901400596",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

Verify at the official NPI Registry.