Organization Active NPI

Julie a Wieger DPM PC

  • Foot & Ankle Surgery Podiatrist
  • South Bend, IN
National Provider Identifier
1770805491
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
IN07000810 Issued in IN
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

Updated by the provider on Apr 21, 2010

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.