PAUL J WIECKOWSKI DPM NPI 1457351892

NPI Information

  • NPI: 1457351892
  • Provider Name: PAUL J WIECKOWSKI, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 PIKE ST
    WEIRTON, WV
    ZIP 26062
  • Phone: (304) 723-1797

Map and Directions

Get Directions

NPI Details

Paul J Wieckowski, DPM is a foot and ankle surgery podiatrist in Weirton, WV with 36 years of experience. Paul J Wieckowski, DPM NPI is 1457351892. 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:

101 PIKE ST
WEIRTON, WV
ZIP 26062-919
Phone: (304) 723-1797
Fax: (304) 723-1755

The NPI 1457351892 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).

The enumeration date for this NPI number is 7/28/2005 and was last updated on 7/8/2007.

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
1213ES0103XPodiatristFoot & Ankle SurgerySC003459LPENNSYLVANIANo
2213ES0103XPodiatristFoot & Ankle Surgery36003334WOHIONo
3213ES0103XPodiatristFoot & Ankle Surgery259WEST VIRGINIAYes

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
10099632000MEDICAIDWEST VIRGINIA
20707781MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
30707781MEDICARE ID-TYPE UNSPECIFIEDOHIO
4U02248MEDICARE UPINWEST VIRGINIA
5WI618526MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI