DR. JOHN WALTER WIEST (NPI# 1073590998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073590998 |
| Entity Type | Individual |
| Full Name | DR. JOHN WALTER WIEST |
| Credential | MD |
| Practice Address |
9155 Sw Barnes Rd Suite 321 Portland OR 97225 |
| Mailing Address |
3439 Ne Sandy Blvd Pmb 375 Portland OR 97232 |
| Practice Telephone | 5032920070 |
| Practice Fax Number | 5032927731 |
| Mailing Telephone | 5032848841 |
| Mailing Fax Number | 5032823302 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2010-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD14474 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 175216 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063514685 | John A. Wiest | Dentist | 315 W Busch Blvd, Suite A, Tampa, FL 33612-7904 | 2006-09-03 |
| 1710098397 | John Wiest Jr. | Nurse Practitioner | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-08-31 |
| Street Address |
9155 SW BARNES RD SUITE 321 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657052 | Nancy Lynn Spencer | Nurse Practitioner | 9155 Sw Barnes Rd, Ste 740, Portland, OR 97225-6634 | 2005-05-27 |
| 1366918518 | Emily Secter | Occupational Therapist | 9155 Sw Barnes Rd, Portland, OR 97225 | 2018-10-15 |
| 1154806479 | Nicole Kuhl | Occupational Therapist | 9155 Sw Barnes Rd, Portland, OR 97225-6625 | 2018-10-02 |
| 1497267199 | Kolten William Paryzek | Physician Assistant | 9155 Sw Barnes Rd, Portland, OR 97225-6625 | 2017-11-02 |
| 1275077463 | Carolyn Durfee | Speech-Language Pathologist | 9155 Sw Barnes Rd, East Pavilion, Portland, OR 97225-6625 | 2016-12-07 |
| 1013466549 | Kimberly Grady | Physician Assistant | 9155 Sw Barnes Rd, Suite 321, Portland, OR 97225-6625 | 2016-09-26 |
| 1811443054 | Christie Veenkamp | Speech-Language Pathologist | 9155 Sw Barnes Rd, East Pavilion - PCdi (prov Children's Devel. Institute), Portland, OR 97225-6625 | 2016-08-28 |
| 1063967628 | Suzanne Mckenzie | Speech-Language Pathologist | 9155 Sw Barnes Rd, Portland, OR 97225-6625 | 2016-08-23 |
| 1720533516 | Amanda Margolin | Dietitian, Registered | 9155 Sw Barnes Rd, Suite 161, Portland, OR 97225-6625 | 2016-08-22 |
| 1053865592 | Ashleigh B Connell | Speech-Language Pathologist | 9155 Sw Barnes Rd, Children's Development Institute, East Pavilion, Portland, OR 97225-6625 | 2016-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912334400 | Toshio Inahara | Surgery | 1115 Sw Summit View Dr, Portland, OR 97225-6197 | 2013-09-30 |
| 1902192396 | John Noel Dussel | Surgery | 9155 Sw Barnes Rd Ste 321, Portland, OR 97225 | 2011-06-23 |
| 1356584973 | Norina Mohd Nordin | Surgery | 9701 Sw Barnes Rd Ste 140, Portland, OR 97225-6688 | 2009-04-13 |
| 1669416244 | William C Duncan | Surgery | 5400 Sw Menefee Dr, Portland, OR 97239-2700 | 2006-06-15 |
| 1386640688 | Philip T Alexander | Surgery | 9701 Sw Barnes Rd, Ste 140, Portland, OR 97225 | 2005-06-22 |
| 1649658766 | Cherrie Abraham | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2015-05-08 |
| 1811382773 | Vincent Noori | Surgery | 22 Bramhall St, Portland, ME 04102-3134 | 2015-03-30 |
| 1770921462 | Kimberly Taylor Malka | Surgery | 22 Bramhall St, Portland, ME 04102 | 2013-06-05 |
| 1134565492 | Anna Marie Boniakowski | Surgery | 887 Congress St Ste 400, Portland, ME 04102-3163 | 2013-05-14 |
| 1710253984 | Sheena Kim Harris | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-03-31 |
| Find all providers in PORTLAND | ||||
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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.