DR. JEROME J WIEDEMEIER (NPI# 1770526816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770526816 |
| Entity Type | Individual |
| Full Name | DR. JEROME J WIEDEMEIER |
| Credential | D.C. |
| Practice Address |
116 North Main St. Buffalo Center IA 50424 |
| Mailing Address |
116 North Main St. P.o. Box 323 Buffalo Center IA 50424 |
| Practice Telephone | 6415622020 |
| Practice Fax Number | 6415622924 |
| Mailing Telephone | 6415622020 |
| Mailing Fax Number | 6415622924 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2010-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | A5749 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC/BS OF MN | 3C972BU | 01 | |
| IA | BLUE CROSS & BLUE SHIELD | 14184 | 01 |
| IA | 0120493 | 05 |
| Street Address |
116 NORTH MAIN ST. |
| City | BUFFALO CENTER |
| State | IA |
| Zip Code | 50424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285891598 | Buffalo Center Volunteer Ambulance | Clinic/Center | Hwy 9, Buffalo Center, IA 50424 | 2008-05-22 |
| 1689704546 | Steven Harris Johnson | Dentist | 11 2nd Ave Nw, Buffalo Center, IA 50424 | 2007-03-07 |
| 1598910002 | Buffalo Center Volunteer Ambulance | Ambulance | 314 1st Avenue Nw, Buffalo Center, IA 50424-0000 | 2008-11-25 |
| 1174699656 | Mercy Health Services - Iowa Corp | Clinic/Center | 115 N Main, Suite Rh, Buffalo Center, IA 50424-0000 | 2006-11-28 |
| 1497862015 | Mercy Health Services - Iowa Corp | Family Medicine | 115 N Main, Buffalo Center, IA 50424-0000 | 2006-08-23 |
| 1316913205 | Timely Mission Nursing Home | Nursing Facility/Intermediate Care Facility | 109 Mission Dr, Buffalo Center, IA 50424-1034 | 2006-02-28 |
| 1568774586 | Kyle Patrick Winter | Dentist | 101 4th St Nw, Buffalo Center, IA 50424-1055 | 2010-07-07 |
| 1730480112 | Randall L. Winter,d.d.s.,p.c. | Dentist | 101 4th St Nw, Buffalo Center, IA 50424-1055 | 2010-11-16 |
| 1548553092 | North Iowa Community School District | Local Education Agency (LEA) | 111 3rd Ave Nw, Buffalo Center, IA 50424-7702 | 2011-05-17 |
| 1841582731 | North Iowa Physical Therapy LLC | Physical Therapist | 119 N Main St, Buffalo Center, IA 50424-7731 | 2011-05-10 |
| Find all providers in zip 50424 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174197 | Ryan Hartley | Chiropractor | 900 42nd St, Des Moines, IA 50312-2616 | 2020-11-02 |
| 1851991491 | Kaleb Olson | Chiropractor | 112 Ne Ewing St Ste A, Grimes, IA 50111-2181 | 2020-10-30 |
| 1386244283 | Innate Health Chiropractic Pllc | Chiropractor | 6 Hawkeye Dr Ste 105, North Liberty, IA 52317-8904 | 2020-10-29 |
| 1316552052 | Shannon Kathleen Christiansen | Chiropractor | 2108 Vine St, Davenport, IA 52804-2056 | 2020-09-10 |
| 1609487230 | Joseph Aaron Viers | Chiropractor | 250 W 1st St Ste D, Grimes, IA 50111-2138 | 2020-08-17 |
| 1821609918 | Kira Baca | Chiropractor | 3231 Schuetzen Ln Apt 3, Davenport, IA 52804-4344 | 2020-08-12 |
| 1073123527 | Aligned Chiropractic Pllc | Chiropractor | 928 Valley View Dr Ste 14, Council Bluffs, IA 51503-5288 | 2020-08-08 |
| 1659980191 | Katelyn Ann De Kruyff | Chiropractor | 204 8th St Se Ste A, Altoona, IA 50009-1951 | 2020-07-30 |
| 1477189538 | Acme Chiropractic PC | Chiropractor | 701 Nw School St, Ankeny, IA 50023-1735 | 2020-03-19 |
| 1316572795 | Ayusa Ogawa Lisk | Chiropractor | 4815 Ne Trilein Dr, Ankeny, IA 50021-8106 | 2020-03-06 |
| Find all providers with the same taxonomy | ||||
| City | BUFFALO CENTER |
| Zip Code | 50424 |
Please comment or provide details below to improve the information on DR. JEROME J WIEDEMEIER.
| 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.