DR. MATTHEW M WIENECKE MD NPI 1104855089

NPI Information

NPI: 1104855089
Provider Name: DR. MATTHEW M WIENECKE, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

Address:
9 RICHLAND MEDICAL PARK DR
SUITE 200A
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-7940
Get Directions

DR. Matthew M Wienecke, MD is a pediatric cardiology pediatrics in Columbia, SC. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. DR. Matthew M Wienecke, MD NPI is 1104855089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9 RICHLAND MEDICAL PARK DR
SUITE 200A
COLUMBIA, SC
ZIP 29203-859
Phone: (803) 434-7940
Fax: (803) 434-2262

The enumeration date for this NPI number is 7/2/2006 and was last updated on 3/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology	14381	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	143810	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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