Provider Type Icon

CLEM JOHN WEGMAN MD NPI 1366936601


NPI Information

NPI: 1366936601
Provider Name: CLEM JOHN WEGMAN, MD
Classification: Hospitalist - 208M00000X
Entity Type: Individual
Organization: GALEN INPATIENT PHYSICIANS PC

PECOS Registration: Yes

Address:
750 BROADWAY STE 350
FORT WAYNE, IN
ZIP 46802
Phone: (260) 423-2675
Get Directions

Clem John Wegman, MD is a hospitalist in Fort Wayne, IN with 6 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Clem John Wegman, MD NPI is 1366936601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

750 BROADWAY STE 350
FORT WAYNE, IN
ZIP 46802-412
Phone: (260) 423-2675
Fax: (260) 423-6621

The NPI 1366936601 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 7/26/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine11020177AINDIANANo
2207Q00000XFamily Medicine01082724AINDIANANo
3208D00000XGeneral Practice01082724AINDIANANo
4208M00000XHospitalist01082724AINDIANAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.