DR. CLIFFORD FRANK WIEGAND MD NPI 1588669170

NPI Information

NPI: 1588669170
Provider Name: DR. CLIFFORD FRANK WIEGAND, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
107 WOODLAWN DR
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 929-7158
Get Directions

DR. Clifford Frank Wiegand, MD is a nephrology internal medicine in Johnson City, TN. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Clifford Frank Wiegand, MD NPI is 1588669170. 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:

107 WOODLAWN DR
JOHNSON CITY, TN
ZIP 37604-978
Phone: (423) 929-7158
Fax: (423) 828-9625

The NPI 1588669170 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2005 and was last updated on 12/28/2009.

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	207R00000X	Internal Medicine		MD18429	TENNESSEE	No
2	207RN0300X	Internal Medicine	Nephrology	MD18429	TENNESSEE	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
1	A78233	MEDICARE UPIN	TENNESSEE
2	3030482	MEDICAID	TENNESSEE
3	3030483	MEDICARE PIN	TENNESSEE

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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