Wildwood Internal Medicine, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WILDWOOD INTERNAL MEDICINE, PC

Practice address

16759 Main Street
Suite 203
Wildwood, MO 63040

Phone

(636) 458-4800

Fax

(636) 594-7500

NPI assigned

Sep 3, 2009

Last updated

Sep 3, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

WILDWOOD INTERNAL MEDICINE, PCAs reported in NPPES

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

Authorized official

Name

John Wiedner, M.D.NPI 1639151244

Title

Present

Phone

(636) 458-4800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Wildwood Internal Med PC

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Wiedner, M.D.

  • Internal Medicine Physician
  • Wildwood, MO
  • NPI 1639151244
  Medicare reassignment Authorized official
• Melanie D Rookwood, MD

  • Internal Medicine Physician
  • Wildwood, MO
  • NPI 1417510173

  Single Specialty

  NPD (past)
• Himanshi Chopra, MD

  • Family Medicine Physician
  • Suwanee, GA
  • NPI 1487158275

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1871726067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16759 MAIN STREET",
            "address_2": "SUITE 203",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "63040",
            "telephone_number": "636-458-4800",
            "fax_number": "636-594-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16759 MAIN STREET",
            "address_2": "SUITE 203",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "63040",
            "telephone_number": "636-458-4800",
            "fax_number": "636-594-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD INTERNAL MEDICINE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILDWOOD INTERNAL MEDICINE, PC",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "WIEDNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESENT",
        "authorized_official_telephone_number": "636-458-4800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whispering Oaks Health Care Center, Inc
• Whispering Oaks Health Care, Inc.
• Whispering Oaks RCF Management Co, Inc. (Whispering Oaks)
• John Wiedner, M.D.
• Wildwood Health & Wellness Center, P.C.
• Wildwood Vision Specialists LLC
• Karen Will, LPC
• Diane Ruth Williams, RPH
• Katherine P Williams, MSW, LCSW
• Devin R Willis, MD

• Internal Medicine Physician in Wildwood, MO
• Providers in Wildwood, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.