JONATHAN J WIGGENHORN D.O. NPI 1417983230

NPI Information

  • NPI: 1417983230
  • Provider Name: JONATHAN J WIGGENHORN, D.O.
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2700 N 140TH AVENUE
    STE 107
    GOODYEAR, AZ
    ZIP 85395
  • Phone: (623) 353-8770

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NPI Details

Jonathan J Wiggenhorn, D.O. is a facial plastic surgery otolaryngology in Goodyear, AZ with 27 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. Jonathan J Wiggenhorn, D.O. NPI is 1417983230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduation Year:1999

The provider's business location address is:

2700 N 140TH AVENUE
STE 107
GOODYEAR, AZ
ZIP 85395
Phone: (623) 353-8770
Fax: (623) 353-8771

The NPI 1417983230 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Test for allergy using allergenic extract (HCPCS:95004)
  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Ct scan of face without contrast (HCPCS:70486)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Dilation of sphenoid and frontal nasal sinus using an endoscope (HCPCS:31298)
  • Computer-assisted procedure outside membrane covering brain (HCPCS:61782)
  • Dilation of nasal sinus using an endoscope (HCPCS:31295)
  • Removal of nasal air passage under lining tissue (HCPCS:30140)
  • Exam of ear using a microscope (HCPCS:92504)
  • Removal of impacted ear wax (HCPCS:69210)
  • Biopsy or removal of nasal polyp or tissue using an endoscope (HCPCS:31237)
  • Removal of nasal sinus using an endoscope (HCPCS:31255)
  • Exam of the nose and throat using an endoscope (HCPCS:92511)
  • Control of bleeding of nose using an endoscope (HCPCS:31238)
  • Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/23/2006 and was last updated on 8/17/2020.

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
1207YS0123XOtolaryngologyFacial Plastic Surgery4738ARIZONAYes

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
1272504MEDICAIDARIZONA

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: 11/21/2025

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