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MR. MICHAEL TODD WIETMARSCHEN AT NPI 1457434508


NPI Information

NPI: 1457434508
Provider Name: MR. MICHAEL TODD WIETMARSCHEN, AT
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: OHIOHEALTH CORPORATION

PECOS Registration: Yes

Address:
323 E TOWN ST
COLUMBUS, OH
ZIP 43215
Phone: (614) 461-8714
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MR. Michael Todd Wietmarschen, AT is a surgical physician assistant in Columbus, OH with 15 years of experience. MR. Michael Todd Wietmarschen, AT NPI is 1457434508. 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:

323 E TOWN ST
COLUMBUS, OH
ZIP 43215-767
Phone: (614) 461-8714
Fax: (614) 461-9155

The NPI 1457434508 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.

  • Repair of knee joint (HCPCS:27447)

The enumeration date for this NPI number is 10/23/2006 and was last updated on 1/25/2022.


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
12255A2300XSpecialist/TechnologistAthletic TrainerAT002804OHIONo
2363AS0400XPhysician AssistantSurgical50.003003OHIOYes

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.