DR. JERRY MICHAEL WIETING (NPI# 1992733372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992733372 |
| Entity Type | Individual |
| Full Name | DR. JERRY MICHAEL WIETING |
| Credential | D.O. |
| Practice Address |
424 N Broad St New Tazewell TN 37825-6606 |
| Mailing Address |
Po Box 367 Harrogate TN 37752-0367 |
| Practice Telephone | 4238697193 |
| Practice Fax Number | 4238697195 |
| Mailing Telephone | 4238697193 |
| Mailing Fax Number | 4238697195 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 5101012414 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 165 Westmoreland St, Harrogate, TN 377528202 | 4238697082 |
| Street Address |
424 N BROAD ST |
| City | NEW TAZEWELL |
| State | TN |
| Zip Code | 37825-6606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849740 | Brent Sheldon Neal | Internal Medicine | 424 N Broad St, New Tazewell, TN 37825-6606 | 2005-05-31 |
| 1881063857 | Michael Allen Stephens | Physician Assistant | 424 N Broad St, New Tazewell, TN 37825-6606 | 2015-09-21 |
| 1508200437 | Logan Spencer Mccarthy | Nurse Practitioner | 424 N Broad St, New Tazewell, TN 37825-6606 | 2013-04-22 |
| 1992979454 | Nicole Paulson Shields | Family Medicine | 424 N Broad St, New Tazewell, TN 37825-6606 | 2008-04-16 |
| 1063699353 | Leah Cobb Snodgrass | Psychiatry & Neurology | 424 N Broad St, New Tazewell, TN 37825-6606 | 2008-01-29 |
| 1992985865 | Lincoln Memorial University | Emergency Medicine | 424 N Broad St, New Tazewell, TN 37825-6606 | 2007-11-08 |
| 1962530436 | Jan D Zieren | Family Medicine | 424 N Broad St, New Tazewell, TN 37825-6606 | 2007-02-28 |
| 1134236201 | Juanita M Brown | Neuromusculoskeletal Medicine & OMM | 424 N Broad St, New Tazewell, TN 37825-6606 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801131610 | Emma Hernandez Tenerife | Physical Therapist | 505 Buchanan Road, New Tazewell, TN 37825 | 2012-12-05 |
| 1295959021 | Melvin Keith Donesky | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2007-04-12 |
| 1962533059 | Lisa Ann Mayes | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-08 |
| 1679505937 | James P Crutchfield | Optometrist | 409 N Broad St, New Tazewell, TN 37825 | 2006-07-07 |
| 1497257984 | Selena Frazier | Speech-Language Pathologist | 902 Buchanan Rd, New Tazewell, Tn, TN 37825 | 2018-03-01 |
| 1891211165 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 915 Main St, New Tazewell, TN 37825 | 2017-08-18 |
| 1083169171 | Haley Henard Debusk | Physician Assistant | 424 N. Broad Street, New Tazwell, Tazewell, TN 37825 | 2016-08-18 |
| 1508154055 | Dr.melvin Donesky D.d.s. | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2011-07-19 |
| 1437488350 | William Herbert Brooks | Licensed Practical Nurse | 1596 Highway 33 South, New Tazewell, TN 37825 | 2009-12-24 |
| 1366680423 | Jessica Broyles | Dietitian, Registered | 620 Davis Dr, New Tazewell, TN 37825 | 2009-01-28 |
| Find all providers in zip 37825 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921041 | Tn Integrative Healthcare Plc | Physical Medicine & Rehabilitation | 5055 Maryland Way Ste 100, Brentwood, TN 37027-7665 | 2020-04-20 |
| 1316575905 | Alexandrea Paige Armstrong | Physical Medicine & Rehabilitation | 3217 Deer Lake Dr, Knoxville, TN 37912-4817 | 2020-03-30 |
| 1063047173 | Shandi Rakowsky | Physical Medicine & Rehabilitation | 6250 Highway 64 Ste 5, Oakland, TN 38060-5175 | 2020-03-09 |
| 1629619416 | Louise Anne Harper Dawkins | Physical Medicine & Rehabilitation | 2059 S Houston Levee Rd Ste 117, Germantown, TN 38139-6970 | 2019-10-02 |
| 1801455431 | Elizabeth Ann Kendall | Physical Medicine & Rehabilitation | 101 Medtech Pkwy, Ste 200, Johnson City, TN 37604-4001 | 2019-06-07 |
| 1518424035 | Allison Kate Wiles | Physical Medicine & Rehabilitation | 311 Landrum Pl Ste B400, Clarksville, TN 37043-6319 | 2019-02-21 |
| 1750847257 | Ethan Pearcy | Physical Medicine & Rehabilitation | 105 W Stone Dr # 1d, Kingsport, TN 37660-3365 | 2019-02-20 |
| 1649745381 | Felicia Gayle Davis | Physical Medicine & Rehabilitation | 1326 Sawmill Rd, Crossville, TN 38555-1432 | 2018-10-09 |
| 1699286955 | Ashley N Davis | Physical Medicine & Rehabilitation | 455 Chickamauga Dr Ste 101, Dayton, TN 37321-4286 | 2017-10-13 |
| 1093234916 | Cornelius Martin | Physical Medicine & Rehabilitation | 353 S Berkshire Cv, Cordova, TN 38018-6786 | 2017-09-12 |
| Find all providers with the same taxonomy | ||||
| City | NEW TAZEWELL |
| Zip Code | 37825 |
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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.