Active NPI
John Wendell Wiens, MD
- Surgery Physician
- Newton, KS
National Provider Identifier
1760892293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 04-12441
- Practice address
- 209 S Pine St
Newton, KS 67114-3745 - Phone
- (316) 283-6103
- Fax
- (316) 283-0453
- NPI assigned
- May 6, 2014
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 04-12441 | KS | Primary |
Addresses
Primary practice location
209 S Pine St
Newton, KS 67114-3745
Mailing address
17 Circle Dr
Newton, KS 67114-1328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-12441 | KS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Ministries Clinic, Inc | Past | Accepting new patients | |
| Health Ministries Clinic, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Newton, KS
- NPI 1346261930
-
- Federally Qualified Health Center (FQHC)
- Newton, KS
- NPI 1922782309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1760892293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CIRCLE DR",
"city": "NEWTON",
"state": "KS",
"postal_code": "671141328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S PINE ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "671143745",
"telephone_number": "316-283-6103",
"fax_number": "316-283-0453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIENS",
"first_name": "JOHN",
"middle_name": "WENDELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-06",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "04-12441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.