MR. MICHAEL B WIESE (NPI# 1538137005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538137005 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL B WIESE |
| Credential | M.D. |
| Practice Address |
183 Intrepid Ln Syracuse NY 13205-2548 |
| Practice Telephone | 3152510401 |
| Practice Fax Number | 3152510405 |
| Mailing Telephone | 3152510401 |
| Mailing Fax Number | 3152510405 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2010-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 175162 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01499807 | 05 |
| Street Address |
183 INTREPID LN |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689642456 | Daniel G Dichristina | Orthopaedic Surgery | 183 Intrepid Ln, Syracuse, NY 13205-2548 | 2006-03-09 |
| 1184050973 | Medical Services of Syracuse | Psychiatry & Neurology | 183 Intrepid Ln, Syracuse, NY 13205-2548 | 2013-09-24 |
| 1770715237 | Paul Stasko | Podiatrist | 183 Intrepid Ln, Syracuse, NY 13205-2548 | 2009-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| 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 |
|---|---|---|---|---|
| 1508168568 | Daniel Elstein | Orthopaedic Surgery | 3187 Bellevue Ave Apt A3, Syracuse, NY 13210 | 2010-11-24 |
| 1720150170 | Bruce Edward Baker | Orthopaedic Surgery | 600 East Genesee Street, Suite 117, Syracuse, NY 13202 | 2006-11-14 |
| 1013087071 | Syracuse Orthopedic Specialists, P.C. | Orthopaedic Surgery | 5801 E Taft Rd, Syracuse, NY 13212-3291 | 2006-11-08 |
| 1265511067 | Syracuse Orthopedic Specialists, P.C. | Orthopaedic Surgery | 5000 W Seneca Tpke, Syracuse, NY 13215 | 2006-11-03 |
| 1689642456 | Daniel G Dichristina | Orthopaedic Surgery | 183 Intrepid Ln, Syracuse, NY 13205-2548 | 2006-03-09 |
| 1477558492 | Bruce E Fredrickson | Orthopaedic Surgery | 550 Harrison St, Ste 130, Syracuse, NY 13202-3064 | 2005-06-16 |
| 1871598805 | Michael T Clarke | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214-1880 | 2005-06-16 |
| 1558758185 | Oluwadamiola Oluyede | Orthopaedic Surgery | 750 E Adams St, Syracuse, NY 13210-2306 | 2015-04-21 |
| 1821330176 | Anthony M Orio | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2013-03-25 |
| 1295093763 | Cassandra Riggs | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214 | 2012-05-02 |
| Find all providers in SYRACUSE | ||||
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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.