Scott L Wiesen, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0053124 Issued in FL

Practice address

625 9TH St N
Suite 304
Naples, FL 34102-8143

Phone

(239) 775-4444

Fax

(239) 775-4445

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.wiesen.p1@direct.scott-wiesen.nextgenshare.com

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.

• 1656 Anesthesia, LLC

  • Anesthesiology Physician
  • Naples, FL
  • NPI 1861734865
  Medicare reassignment NPD
• Anchor Health Centers PA

  • Family Medicine Physician
  • Naples, FL
  • NPI 1174571608
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1831130814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 9TH ST N",
            "address_2": "SUITE 304",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341028143",
            "telephone_number": "239-775-4444",
            "fax_number": "239-775-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 9TH ST N",
            "address_2": "SUITE 304",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341028143",
            "telephone_number": "239-775-4444",
            "fax_number": "239-775-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESEN",
        "first_name": "SCOTT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0053124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Widmer, DDS
• Widom Chiropractic Offices PA
• Gavin Jay Widom, DC
• Vikki Angert Wiener, D.O.
• Trent Wies
• Eric Carl Wiesner, SLP
• Delia Anne Wietecha, MD
• Katherine Margaret Wietecha
• Amy Wiggins, PTA
• Gabriel Wilamowski

• Gastroenterology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.