Micah David Wiegel, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

E-9098 Issued in AR

Practice address

625 United Dr Ste 420
Conway, AR 72032-7810

Phone

(501) 358-6941

Fax

(501) 358-6951

NPI assigned

May 10, 2011

Last updated

May 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Obstetrics/Gynecology

Education

University of Arkansas College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DHP of Arkansas PAGroup PAC ID 3779731104, 18 clinicians

Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwiegel218620@direct.baptist-healthar.org

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.

• Arkansas Health Group

  dba Baptist Health - Vascular Surgery - Little Rock

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Little Rock, AR
  • NPI 1598031882
  Medicare reassignment Care Compare group NPD
• DHP of Arkansas PA

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
  • NPI 1992068878
  Medicare reassignment Care Compare group NPD
• Arkansas Health Group

  dba Baptist Health Women's Clinic-Conway

  • Obstetrics & Gynecology Physician
  • Conway, AR
  • NPI 1508378241
  NPD
• Arkansas Health Group

  dba Baptist Health Surgical Clinic-Stuttgart

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Conway Community Services

  dba Baptist Health Medical Center - Conway

  • General Acute Care Hospital
  • Conway, AR
  • NPI 1285005140
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1801188792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 UNITED DR STE 420",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327810",
            "telephone_number": "501-358-6941",
            "fax_number": "501-358-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 UNITED DR STE 420",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327810",
            "telephone_number": "501-358-6941",
            "fax_number": "501-358-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGEL",
        "first_name": "MICAH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-9098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "micah.wiegel@nar.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "724 N Spring St",
            "city": "Harrison",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726012913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashton Taylor Whiting, APRN
• Catlin Faye Whitlow
• Amy Wickliffe, LCSW
• Bobie Jo Widders, MD
• Richard L Wiedower, DDS
• Shelly Beth Wier, CCC-SLP
• Kassie Wiest, DC, ATC
• Heaven Wilbert
• Karin Riner Wilcox-Irvin, LPC
• Christopher Adam Wilkerson, OT

• Obstetrics & Gynecology Physician in Conway, AR
• Providers in Conway, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.

Verify at the official NPI Registry.