PHILIPP ALEXANDER WIESNER M.D. NPI 1609162817

NPI Information

  • NPI: 1609162817
  • Provider Name: PHILIPP ALEXANDER WIESNER, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3800 S NATIONAL AVE
    SPRINGFIELD, MO
    ZIP 65807
  • Phone: (417) 875-2718

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NPI Details

Philipp Alexander Wiesner, M.D. is an interventional cardiology internal medicine in Springfield, MO with 18 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Philipp Alexander Wiesner, M.D. NPI is 1609162817. 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:

3800 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807-209
Phone: (417) 875-2718
Fax: (417) 875-3737

The NPI 1609162817 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 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.

  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Blood test, clotting time (HCPCS:85610)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Ultrasound of heart blood flow, valves and chambers (HCPCS:93320)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of heart with probe in esophagus, with report (HCPCS:93312)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel (HCPCS:92978)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Repair of left upper heart chamber with implant with review by radiologist (HCPCS:33340)
  • Replacement of aortic valve through the skin and femoral artery (HCPCS:33361)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel (HCPCS:93571)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Repair of mitral valve through the skin, initial prosthesis (HCPCS:33418)
  • Initial hospital observation care per day, typically 50 minutes (HCPCS:99219)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 6/26/2011 and was last updated on 12/10/2025.

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
1207RI0011XInternal MedicineInterventional Cardiology2019015689MISSOURIYes
2390200000XStudent in an Organized Health Care Education/Training ProgramA126482CALIFORNIANo

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
1200069960MEDICAIDMISSOURI

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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