DR. EDWARD LOUIS WIEBE DPM NPI 1316908882

NPI Information

NPI: 1316908882
Provider Name: DR. EDWARD LOUIS WIEBE, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
8 W COLUMBUS AVE
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 774-4825
Get Directions

DR. Edward Louis Wiebe, DPM is a foot and ankle surgery podiatrist in Flagstaff, AZ. DR. Edward Louis Wiebe, DPM NPI is 1316908882. 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:

8 W COLUMBUS AVE
FLAGSTAFF, AZ
ZIP 86001-202
Phone: (928) 774-4825
Fax: (928) 779-1008

The NPI 1316908882 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 3/31/2006 and was last updated on 10/3/2011.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	0076	ARIZONA	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	AZ0065350	OTHER	ARIZONA	BC/BS ID#
2	0353890001	MEDICARE NSC	ARIZONA
3	T42264	MEDICARE UPIN	ARIZONA
4	700270-001	MEDICAID	ARIZONA
5	Z118296	MEDICARE PIN	ARIZONA

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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