JASON ANDREW WIECHERT (NPI# 1235545971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235545971 |
| Entity Type | Individual |
| Full Name | JASON ANDREW WIECHERT |
| Credential | D.O. |
| Practice Address |
4700 Memorial Dr Ste 340 Belleville IL 62226-5373 |
| Practice Telephone | 6182349884 |
| Mailing Telephone | 6182349884 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036150728 | IL | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 5101023734 | MI | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 2014022165 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
4700 MEMORIAL DR STE 340 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-5373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013070440 | Kim C Wrigley | Physician Assistant | 4700 Memorial Dr Ste 340, Belleville, IL 62226-5373 | 2006-12-18 |
| 1881097236 | Michael J Sullivan | Physician Assistant | 4700 Memorial Dr Ste 340, Belleville, IL 62226-5373 | 2014-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629496203 | Elissa Davis | Orthopaedic Surgery | 4700 Memorial Dr Ste 350, Belleville, IL 62226-5373 | 2014-04-01 |
| 1679896260 | Oa Associates LLC | Orthopaedic Surgery | 4700 Memorial Drive, Ste. 340, Belleville, IL 62226 | 2010-03-10 |
| 1891799565 | Kevin Anthony Baumer | Orthopaedic Surgery | 4700 Memorial Dr, Ste 340, Belleville, IL 62226-5373 | 2005-06-09 |
| 1043213499 | David J Greifinger | Orthopaedic Surgery | 36 Newark Ave, Ste 220, Belleville, NJ 07109-4121 | 2005-05-31 |
| 1619246485 | Oa Associates LLC | Orthopaedic Surgery | 4700 Memorial Dr, Ste. 340, Belleville, IL 62226-5370 | 2011-12-22 |
| 1861708216 | Carl F Mercurio Md Pa | Orthopaedic Surgery | 36 Newark Ave, Suite 220, Belleville, NJ 07109-4119 | 2010-08-24 |
| 1013238534 | Oa Associates, LLC | Orthopaedic Surgery | 4700 Memorial Drive, Ste. 340, Belleville, IL 62226 | 2010-06-18 |
| 1356579684 | Kevin James Mccarthy | Orthopaedic Surgery | 180 S 3rd St, Belleville, IL 62220-1952 | 2009-06-25 |
| 1033371992 | Charles Luke Lehmann | Orthopaedic Surgery | 4700 Memorial Dr, Ste. 340, Belleville, IL 62226-5373 | 2008-07-01 |
| 1053448167 | Essex Orthopaedic Group, P.C. | Orthopaedic Surgery | 36 Newark Ave, Suite 220, Belleville, NJ 07109-4119 | 2007-02-27 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
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| 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.