David A Wiersema, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

DW012159 Issued in MI

Practice address

4701 Towne Centre Rd Ste 102
Saginaw, MI 48604-2800

Phone

(989) 797-4610

Fax

(989) 797-4612

NPI assigned

Jul 5, 2006

Last updated

Jan 26, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Physical Medicine and Rehabilitation

Education

Michigan State University College of Osteopathic Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
• Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwiersema1249@direct.covenanthealthcare.com

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.

• David a. Wiersema, D.O., PLLC

  • Physical Medicine & Rehabilitation Physician
  • Saginaw, MI
  • NPI 1154572972
  Medicare reassignment NPD Authorized official
• Fni Physical Medicine & Rehabilitation, PC

  • Physical Medicine & Rehabilitation Physician
  • Saginaw, MI
  • NPI 1104857804
  NPD (past)

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

• Covenant Medical Center, Inc.

  dba Covenant Healthcare

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation
• Mymichigan Medical Center Saginaw

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1871507509
  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1851322549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD STE 102",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042800",
            "telephone_number": "989-797-4610",
            "fax_number": "989-797-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD STE 102",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042800",
            "telephone_number": "989-797-4610",
            "fax_number": "989-797-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERSEMA",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "DW012159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4247329 11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sam Wickham
• Sofie Marie Wickham
• Cherri Ann Wiechmann, RRT
• Christine M Wieland, FNP-C
• Nathan Wieland, MSW, LLMSW
• Brooke Wiewiora
• Ashley Alise Wiggins
• Denise Jurhee Wiggins
• Kelly Wiggins
• Mayah N Wiggins

• Physical Medicine & Rehabilitation Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.