MR. JEFFREY PAUL WIENCEK (NPI# 1174508840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174508840 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY PAUL WIENCEK |
| Credential | FNP |
| Practice Address |
3723 Franklin St Michigan City IN 46360-7310 |
| Mailing Address |
1040 Sierra Dr Ste 400 Greenwood IN 46143-7241 |
| Practice Telephone | 2198743313 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2019-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71000502A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LICENSE IN | 71000502A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407985831 | Jeffrey G Wiencek | Emergency Medicine | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2007-03-02 |
| Street Address |
3723 FRANKLIN ST |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 46360-7310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821014 | Jagjeevan Rao Gandra | Pediatrics | 3723 Franklin St, Michigan City, IN 46360-7310 | 2005-09-19 |
| 1164830196 | Dobben Medical Corp | Radiology | 3723 Franklin St, Michigan City, IN 46360-7310 | 2014-07-22 |
| 1407946486 | Hitendrakumar M Patel | Internal Medicine | 3723 Franklin St, Michigan City, IN 46360-7310 | 2006-10-13 |
| 1407941115 | Franklin Clinic P.c | Pediatrics | 3723 Franklin St, Michigan City, IN 46360-7310 | 2006-10-04 |
| 1992763502 | Anthony Umolu | Family Medicine | 3723 Franklin St, Michigan City, IN 46360-7310 | 2006-05-03 |
| 1013974377 | Malathi Seshadri | Obstetrics & Gynecology | 3723 Franklin St, Michigan City, IN 46360-7310 | 2006-04-28 |
| 1023075777 | Vidya Kora | Internal Medicine | 3723 Franklin St, Michigan City, IN 46360-7310 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649096 | Trinity Healthcare Inc. | Occupational Therapist | 4300 Cleveland Ave, Michigan City, IN 46360 | 2019-09-27 |
| 1861905499 | Erika Leigh Maroon | Chiropractor | 8690 West Pahs Rd., Michigan City, IN 46360 | 2017-11-06 |
| 1750740650 | Michelle Asbell | Nurse Practitioner | 301 Homer St, Michigan City, IN 46360 | 2016-02-19 |
| 1235523952 | Marnee Flinn-smith | Specialist/Technologist | 8466 Pahs Rd, Michigan City, IN 46360 | 2015-03-19 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1053660936 | Planned Parenthood of Indiana Michigan City | Clinic/Center | 324 Dunes Plaza, Michigan City, IN 46360 | 2012-09-06 |
| 1114288644 | June R. R. Nichols Ocularist, Ltd | Durable Medical Equipment & Medical Supplies | 450 St. John Road, Suite 396, Michigan City, IN 46360 | 2012-05-31 |
| 1083980858 | Enoch Kassa | Internal Medicine | 3777 N Frontage Rd, Michigan City, IN 46360 | 2012-03-27 |
| 1760768196 | American Limb & Orthopedic Company of Valparaiso | Prosthetic/Orthotic Supplier | 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 | 2011-10-31 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| Find all providers in zip 46360 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750651188 | Jessica Sophia Bronner | Nurse Practitioner | 1225 E Coolspring Ave Ste 2b, Michigan City, IN 46360-6312 | 2012-01-02 |
| 1083996763 | Sara Lynn Gonzalez | Nurse Practitioner | 8865 W 400 N Ste 105, Michigan City, IN 46360-9223 | 2011-09-19 |
| 1033419825 | Nichole M Shultz | Nurse Practitioner | 601 W. Kieffer Road, Michigan City, IN 46360-9599 | 2010-10-26 |
| 1356503189 | Vicki Overmyer | Nurse Practitioner | 8466 W Pahs Rd, Michigan City, IN 46360-2919 | 2008-07-02 |
| 1447357199 | Kimberly Kaye Pflughaupt | Nurse Practitioner | 3777 N Frontage Rd Ste 500, Michigan City, IN 46360-7697 | 2006-09-17 |
| 1063483642 | Christine Marie Maddox | Nurse Practitioner | 8865 W 400 N Ste 120, Michigan City, IN 46360-9011 | 2006-01-31 |
| 1841287299 | Nancy Jane Paunicka | Nurse Practitioner | 3777 North Frontage Road, Michigan City, IN 46360-7694 | 2005-09-30 |
| 1699390872 | Erica L Corradino | Nurse Practitioner | 710 Franklin St Ste 200, Michigan City, IN 46360-3564 | 2020-06-12 |
| 1548893084 | Lisa Neil | Nurse Practitioner | 3777 N Frontage Rd, Michigan City, IN 46360-7695 | 2020-02-12 |
| 1629614771 | Josephine Renae Chambers | Nurse Practitioner | 10176 W 400 N Ste B, Michigan City, IN 46360-9009 | 2019-11-25 |
| Find all providers in MICHIGAN CITY | ||||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
Please comment or provide details below to improve the information on MR. JEFFREY PAUL WIENCEK.
| 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.