Individual provider Active NPI

Winfried Gordon Wieland, MD

  • Family Medicine Physician
  • Willow Street, PA
National Provider Identifier
1740269455
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD055322L Issued in PA
Practice address
2850 Willow Street Pike N Ste a
Willow Street, PA 17584-9231
Phone
(717) 464-9430
Fax
(717) 464-1680
NPI assigned
Jan 11, 2006
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD055322L PA Primary

Addresses

Primary practice location

2850 Willow Street Pike N Ste a
Willow Street, PA 17584-9231

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 743-1703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20100816000493 PA Practitioner - Family Practice 5991839771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers, Robert Woood Johnson Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

2850 Willow St Pike N
Suite a
Willow Street, PA 17584-9231
Phone (717) 464-9430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
49.04 of 100Reported as individual
Quality
64.42
Improvement activities
0
Cost
77.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Family Medicine Associates, P.C. Family Medicine CurrentSince Jul 28, 1993 Accepting new patients
Family Practice Center, PC CurrentSince May 1, 2025 Accepting new patients
Family Practice Center, PC Family Medicine CurrentSince May 1, 2025 Accepting new patients

Locations

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

270 Susquehanna Valley Mall Dr
Ste 300
Selinsgrove, PA 17870
Phone (570) 743-1703

222 Willow Valley Lakes Dr
Ste 1900
Willow Street, PA 17584
Phone (717) 464-9430

2850 Willow Street Pike N
Ste A
Willow Street, PA 17584
Phone (717) 464-9430

Interoperability endpoints

  • Direct secure messaging: winfriedwielandmd@fpc.medentdirect.com

Organizations & group practices 3

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 6

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1740269455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-743-1703",
            "fax_number": "570-743-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 WILLOW STREET PIKE N STE A",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849231",
            "telephone_number": "717-464-9430",
            "fax_number": "717-464-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELAND",
        "first_name": "WINFRIED",
        "middle_name": "GORDON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD055322L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Street, PA

Sources for this page

Verify at the official NPI Registry.