Walter Scott Wiese, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3778 Issued in OR

Practice address

140 S Royal Ave
Eagle Point, OR 97524-8620

Phone

(541) 234-6440

NPI assigned

Apr 24, 2007

Last updated

Jul 27, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• James M Yewchuk Chiropractic Professional Corporation

  • Chiropractor
  • Klamath Falls, OR
  • NPI 1154548295
  NPD (past)
• Pine Tree Chiropractic PC

  • Chiropractor
  • Klamath Falls, OR
  • NPI 1861677783
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1992924559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S ROYAL AVE",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975248620",
            "telephone_number": "541-234-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S ROYAL AVE",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975248620",
            "telephone_number": "541-234-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "WALTER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Watson
• Susan Anne Whipple, PHARM D
• Grace White, LMT
• Brandon Leslie Whiting
• Janna Whittaker
• Casey Joe Winkler
• Donald Kirk Wolf, PT
• Tracie Lynn Wright, MSN, WHNP-BC
• David Zazhitskiy, PHARMD

• Chiropractor in Eagle Point, OR
• Providers in Eagle Point, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.