Wieck Medical Management PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WIECK MEDICAL MANAGEMENT PC

Practice address

2401 W Wrangler Blvd
Seminole, OK 74868-1917

Phone

(405) 303-4167

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Allen Wieck, DONPI 1972591980

Title

Owner-Operator

Phone

(405) 303-4167

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert A Wieck, DO

  • Emergency Medicine Physician
  • Wewoka, OK
  • NPI 1972591980

  Family Medicine

  NPD (past) Authorized official
• Terrie Jo Hanson, PA-C

  • Physician Assistant
  • Shawnee, OK
  • NPI 1326012733
  NPD (past)
• Mary Kathryn Machado, ARNP

  • Family Nurse Practitioner
  • Wewoka, OK
  • NPI 1942357215
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720145584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748480652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W WRANGLER BLVD",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "748681917",
            "telephone_number": "405-303-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIECK MEDICAL MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER-OPERATOR",
        "authorized_official_telephone_number": "405-303-4167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urgent Care of Seminole Aprn-CNP LLC
• Robert Clayton Vanzant, MS
• Helen Lee Veach, MHR, LADC, CM
• Wal-Mart Stores East LP
• Randee Kathryn Walck-Coetzee, MD
• Williams Medical Group Practice, LLC
• Evan Nicholas Wilson, DPT
• Elyse Wind
• Dannie Sue Wright, LPC UNDER SUPERVISIO
• Angela Christine Yates-Griffin, APRN, CNP

• Family Medicine Physician in Seminole, OK
• Providers in Seminole, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.