Provider Type Icon

DR. JONATHAN WIESEN M.D. NPI 1912149006


NPI Information

NPI: 1912149006
Provider Name: DR. JONATHAN WIESEN, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
600 GRESHAM DR STE 8630B
NORFOLK, VA
ZIP 23507
Phone: (757) 388-6115
Get Directions

DR. Jonathan Wiesen, M.D. is an internal medicine in Norfolk, VA with 15 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Jonathan Wiesen, M.D. NPI is 1912149006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:2009

The provider's business location address is:

600 GRESHAM DR STE 8630B
NORFOLK, VA
ZIP 23507-904
Phone: (757) 388-6115
Fax: (757) 275-9998

The NPI 1912149006 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 enumeration date for this NPI number is 4/3/2009 and was last updated on 11/22/2023.


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
1207R00000XInternal MedicineA136059CALIFORNIANo
2207R00000XInternal Medicine31367NEBRASKANo
3207R00000XInternal MedicineMD463604PENNSYLVANIANo
4207R00000XInternal Medicine80416GEORGIANo
5207R00000XInternal MedicineME129784FLORIDANo
6207RC0200XInternal MedicineCritical Care Medicine35.123867OHIONo
7207RC0200XInternal MedicineCritical Care Medicine0101263288VIRGINIANo
8207RP1001XInternal MedicinePulmonary Disease35.123867OHIONo
9207R00000XInternal Medicine35.123867OHIOYes
10207R00000XInternal Medicine48001KENTUCKYNo
11207R00000XInternal Medicine57563ARIZONANo
12207R00000XInternal Medicine289108NEW YORKNo
13207R00000XInternal Medicine34310OKLAHOMANo
14207R00000XInternal Medicine25MA10254600NEW JERSEYNo

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

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.