Stephen M Wieczorek, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC002919L Issued in PA

Practice address

3263 Pine Ave
Erie, PA 16504-1159

Phone

(814) 456-7862

Fax

(814) 452-1803

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356998400000",
    "number": "1740246701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3263 PINE AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041159",
            "telephone_number": "814-456-7862",
            "fax_number": "814-452-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 PINE AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041159",
            "telephone_number": "814-456-7862",
            "fax_number": "814-452-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECZOREK",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002919L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010471550002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eardly K P Wickramasinghe, MD
• Karin Wickwire
• Meredith Widecan
• Brian Douglas Wieczorek, RPH
• Ellen Arlene Wieczorek, RN
• Shamim Chaparian Wienczkowski, PHARMD
• Victoria A Wiesner, CRNP
• Paul Daniel Wiest, PA (ASCP)
• Janai Wiggins
• Zachary Charles Wigton

• Podiatrist in Erie, PA
• Providers in Erie, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2013; 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.