MR. ROBERT A WIEMER JR. (NPI# 1639317274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639317274 |
Entity Type | Individual |
Full Name | MR. ROBERT A WIEMER JR. |
Credential | MD |
Practice Address |
528-f Klondike Road Long Beach MS 39560 |
Practice Telephone | 2283042906 |
Practice Fax Number | 2285755088 |
Mailing Telephone | 2283042906 |
Mailing Fax Number | 2285755088 |
Enumeration Date | 2009-02-03 |
Last Update Date | 2014-01-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A34681 | CA | Allopathic & Osteopathic Physicians |
Y | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
A34681 | CA | Allopathic & Osteopathic Physicians |
Street Address |
528-F KLONDIKE ROAD |
City | LONG BEACH |
State | MS |
Zip Code | 39560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336660786 | Vitas Laboratory LLC | Clinical Medical Laboratory | 2048 Pineville Road, Suite B, Long Beach, MS 39560 | 2017-07-06 |
1760889554 | Laura Catherine Ranson | Physical Therapist | 2 Tower Plaz, Suite B, Community Rehab Center, Long Beach, MS 39560 | 2014-11-24 |
1073803714 | Kathleen Ann Williams | Pharmacist | Riteaid #7227 Pharmacy 200 West Railroad St, Suite B, Long Beach, MS 39560 | 2011-04-14 |
1609177179 | Robert William Wylie | Hearing Instrument Specialist | 100 Larosa Rd, Ste D, Long Beach, MS 39560 | 2010-11-15 |
1891026498 | James Paul Bertinato | Speech-Language Pathologist | 20337 Longview Rd, Long Beach, MS 39560 | 2010-01-21 |
1932362324 | Family Physical Therapy of South Ms LLC | Physical Therapist | 100-a La Rosa Rd, Long Beach, MS 39560 | 2008-07-07 |
1952589863 | Miller-whitmer Family Chiropractic | Chiropractor | 125 Jeff Davis Avenue, Long Beach, MS 39560 | 2008-02-01 |
1528267333 | Rachel S Conrad Md PC | Family Medicine | 100a Larosa, Long Beach, MS 39560 | 2007-07-12 |
1386720241 | Betty Diane Edrington | Registered Nurse | 2 Tower Plaza, Pineville Road, Long Beach, MS 39560 | 2006-10-31 |
1508947789 | Jennifer Kathryn Cameron | Pharmacist | 209 North Cleveland Ave., Long Beach, MS 39560 | 2006-10-17 |
Find all providers in zip 39560 |
Taxonomy Code | 2081N0008X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Neuromuscular Medicine |
A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386840619 | Amanda Leigh Witt | Physical Medicine & Rehabilitation | 2500 N State St, Department of Neurology, Jackson, MS 39216-4500 | 2007-06-24 |
City | LONG BEACH |
Zip Code | 39560 |
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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.