Active NPI
Julie a Wieger DPM PC
- Foot & Ankle Surgery Podiatrist
- South Bend, IN
National Provider Identifier
1770805491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- IN07000810
- Legal business name
- JULIE A WIEGER DPM PC
- Practice address
- 3506 S Michigan St
South Bend, IN 46614 - Phone
- (574) 231-1960
- Fax
- (574) 231-1961
- NPI assigned
- Feb 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Julie A Wieger, DPM
- Title
- Business Owner
- Phone
- (574) 231-1960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | IN07000810 | IN | Primary |
Addresses
Primary practice location
3506 S Michigan St
South Bend, IN 46614
Mailing address
3506 S Michigan St
South Bend, IN 46614-1728
Phone (574) 231-1960
National Provider Directory
National Provider DirectoryLocations
3506 S Michigan St
South Bend, IN 46614
Phone (574) 231-1960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271808000000",
"number": "1770805491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3506 S MICHIGAN ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466141728",
"telephone_number": "574-231-1960",
"fax_number": "574-231-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3506 S MICHIGAN ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "46614",
"telephone_number": "574-231-1960",
"fax_number": "574-231-1961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIE A WIEGER DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-22",
"last_updated": "2010-04-21",
"status": "A",
"authorized_official_last_name": "WIEGER",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "574-231-1960",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "IN07000810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.