Active NPI
Joseph A Wieck, MD
- Orthopaedic Surgery Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME143674
- Practice address
- 25 Doctor Drive
Medical Plaza 2
Panama City, FL 32405-4520 - Phone
- (850) 767-2455
- Fax
- (850) 767-2790
- NPI assigned
- Feb 7, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME143674 | FL | Primary |
Addresses
Primary practice location
25 Doctor Drive
Medical Plaza 2
Panama City, FL 32405-4520
Mailing address
PO Box 370
Fortson, GA 31808-0370
Other practice location 1
300 Stonecrest Blvd Ste 200
Smyrna, TN 37167-6800
Phone (615) 355-0533
Other practice location 2
394 Harding Pl Ste 200
Nashville, TN 37211-3980
Phone (615) 834-4482
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193771 | Other | TN | BCBS |
| 3083053 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
341 Racetrack Rd NW
Suite B
Fort Walton Beach, FL 32547-1788
Phone (850) 226-8112
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Orthopaedics & Sports Medicine, PLC | Orthopaedic Surgery | Current | Accepting new patients |
| Premier Orthopaedics & Sports Medicine PLC | Orthopaedic Surgery | Current | Accepting new patients |
| Hughston Clinic Southeast PC | Orthopaedic Surgery | Current | Accepting new patients |
| Hughston Clinic Southeast PC | Current | Accepting new patients | |
| Premier Orthopaedics & Sports Medicine, PLC | Current | Accepting new patients |
Locations
341 Racetrack Rd NW
Ste B
Fort Walton Beach, FL 32547
Phone (850) 226-8112
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900
25 Doctors Dr
#2
Panama City, FL 32405
Phone (850) 767-2455
1321 Murfreesboro Pike
Ste 510
Nashville, TN 37217
Phone (615) 366-8890
394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482
300 Stonecrest Blvd
Ste 200
Smyrna, TN 37167
Phone (615) 220-4747
Interoperability endpoints
- joseph.wieck.2@321.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba Hughston Clinic Orthopaedics
- Orthopaedic Surgery Physician
- Nashville, TN
- NPI 1972577351
-
- Durable Medical Equipment & Medical Supplies
- Nashville, TN
- NPI 1770004863
-
dba Hughston Clinic Orthopaedics
- Durable Medical Equipment & Medical Supplies
- Hendersonville, TN
- NPI 1639582398
-
dba Hughston Clinic Orthopaedics
- Durable Medical Equipment & Medical Supplies
- Murfreesboro, TN
- NPI 1861029084
Orthopaedic Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
dba Enhabit Home Health
- Home Health Agency
- Panama City, FL
- NPI 1518916659
-
- Critical Access Hospital
- Chipley, FL
- NPI 1336163708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1750354221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "FORTSON",
"state": "GA",
"postal_code": "318080370",
"fax_number": "706-494-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 DOCTOR DRIVE",
"address_2": "MEDICAL PLAZA 2",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054520",
"telephone_number": "850-767-2455",
"fax_number": "850-767-2790"
}
],
"practiceLocations": [
{
"address_1": "300 Stonecrest Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "TN",
"postal_code": "371676800",
"country_code": "US",
"telephone_number": "615-355-0533",
"fax_number": "615-355-0957",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "394 Harding Pl Ste 200",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372113980",
"country_code": "US",
"telephone_number": "615-834-4482",
"fax_number": "615-834-4722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIECK",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2021-04-30",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME143674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "193771",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3083053",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.