RICHARD ALLEN WIETHOFF


Address: 225 S Pine St Suite 310, Seymour, IN 47274
Phone: 8125222177

RICHARD ALLEN WIETHOFF (NPI# 1164581450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164581450
Entity Type Individual
Full Name RICHARD ALLEN WIETHOFF
Credential MD
Practice Address 225 S Pine St Suite 310
Seymour
IN 47274
Mailing Address 1613 Bell Ford Dr
Seymour
IN 47274
Practice Telephone 8125222177
Practice Fax Number 8125224069
Mailing Telephone 8125222177
Mailing Fax Number 8125224069
Enumeration Date 2006-12-06
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 01024324 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM 00000084530 01
IN 20000020A 05

Office Location

Street Address 225 S PINE ST SUITE 310
City SEYMOUR
State IN
Zip Code 47274

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447850102 Alyssa Gorbett Counselor 320 Bruce St. Suite C, Seymour, IN 47274 2020-10-30
1871123562 Kathy Jo Passereni Pharmacist 1541 Tipton St, Seymour, IN 47274 2020-01-22
1750886966 Cassie Hackman Registered Nurse 6940 E County Road 50 N, Seymour, IN 47274 2018-03-28
1710327994 Derek L Garcia Dentist 321 W Bruce St Ste A, Seymour, IN 47274 2013-07-02
1922349596 Lisa Marie Lindsay Snow Pediatrics Schneck Pediatrics, 411 West Tipton Street, Seymour, IN 47274 2013-03-07
1750670733 David Ryan Stone Internal Medicine 411 West Tipton Street, Seymour, IN 47274 2011-03-30
1518261254 Peggy Jo Bowman Social Worker 1725 E. Tipton St., Ste 200, Seymour, IN 47274 2011-01-10
1174839054 Matthew C Wilson Family Medicine Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 2010-08-30
1346564390 Emanuel Eugene Nearing II Surgery Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 2010-03-19
1821320870 Holly Lee Berry Nurse Practitioner 120 St. Louis Ave., Seymour, IN 47274 2010-02-02
Find all providers in zip 47274

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346564390 Emanuel Eugene Nearing II Surgery Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 2010-03-19
1417037938 Amanda Marie Dick Surgery Schneck Professional Building, 411 West Tipton Street, Seymour, IN 47274 2006-10-17
1154411023 Robert Graham Cooper Jr. Surgery 505 S Poplar St, Seymour, IN 47274-2960 2006-10-13
1659391209 Jeffrey E Schulz Surgery Schneck Medical Center, 411 West Tipton Street, Seymour, IN 47274 2006-07-19
1740269786 Luyen D Le Surgery 1020 W 2nd Street, Seymour, IN 47274-2760 2006-01-10
1780675892 Alberto Q Banez Surgery 201 Stadium Dr, Seymour, TX 76380-2343 2005-10-31
1790121747 Joyce Renee Iwema Surgery Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 2013-05-17
1477874584 Gerald Brandon Millick Surgery Schneck Professional Building, 411 West Tipton Street, Seymour, IN 47274 2010-06-14
1073782660 Robert G Cooper Jr Md PC Surgery 505 S Poplar St, Seymour, IN 47274-2960 2008-02-27
1851505648 Luyen D. Le LLC Surgery 1020 W 2nd St, Seymour, IN 47274-2760 2007-05-10
Find all providers in SEYMOUR

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City SEYMOUR
Zip Code 47274

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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