DR. JOHN M. WIELAND


Address: 1505 Eastland Dr, Suite 2300, Bloomington, IL 61701-3534
Phone: 3096629022

DR. JOHN M. WIELAND (NPI# 1790717387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790717387
Entity Type Individual
Full Name DR. JOHN M. WIELAND
Credential M.D.
Practice Address 1505 Eastland Dr
Suite 2300
Bloomington
IL 61701-3534
Practice Telephone 3096629022
Practice Fax Number 3096622091
Mailing Telephone 3096629022
Mailing Fax Number 3096622091
Enumeration Date 2006-07-06
Last Update Date 2009-09-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 036078215 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE GROUP # 833120 01
IL BLUE CROSS BLUE SHIELD 05700305 01
ID PUBLIC AID 036078215 01

Other Providers JOHN WIELAND

NPI Name Taxonomy Address Enumeration
1851583777 John Howard Wieland Specialist 1577 Skyline Dr, Laguna Beach, CA 92651-1944 2007-08-14
1376605964 John Michael Wieland Internal Medicine 3633 West Lake Avenue, Suite 307, Glenview, IL 60026 2006-12-14

Office Location

Street Address 1505 EASTLAND DR
SUITE 2300
City BLOOMINGTON
State IL
Zip Code 61701-3534

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336142017 Yogesh K Agarwal Internal Medicine 1505 Eastland Dr, Ste 330, Bloomington, IL 61701-3534 2005-05-24
1073082384 Caroline J Turner Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-3534 2018-11-15
1548755366 Sunanda R Kale Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-3534 2018-06-25
1790294403 Sarah Kneip Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-3534 2017-09-26
1760909626 Hannah K Corley Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-3534 2017-08-23
1467827592 Kelly Karr Registered Nurse 1505 Eastland Dr, Bloomington, IL 61701-3534 2015-12-01
1205219607 Michele Krieger-johnsen Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-7905 2015-07-02
1326420563 Fresenius Medical Care Normal, LLC Clinic/Center 1505 Eastland Dr, Medical Plaza Lower Level, Bloomington, IL 61701-3534 2015-06-24
1588068803 Allison Vogel Physician Assistant 1505 Eastland Dr, Bloomington, IL 61701-3534 2014-10-15
1578964987 Kristin N Wilkins Clinical Nurse Specialist 1505 Eastland Dr, Suite 320, Bloomington, IL 61701-3534 2014-09-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140964 County of Mclean Community/Behavioral Health 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 2019-05-22
1023525292 Karli Johnson Counselor 200 W Monroe St Ste C7, Bloomington, IL 61701 2018-01-09
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1215396288 Heidi Larsen Social Worker 902 S East St, Bloomington, IL 61701 2016-02-18
1558735126 Andrea E. Andrews Counseling LLC Counselor 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 2015-11-19
1174924856 Carole Hahn Dietitian, Registered 1406 Forrest St, Bloomington, IL 61701 2014-09-12
1558786392 Valerie Colleen Parker Counselor 109 W. Mulberry St., Bloomington, IL 61701 2014-03-04
1124459219 Matilde Francois Surgery 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 2013-11-27
1922435114 Smitha H Shivaprasad Pharmacist 2611 East Oakland Avenue, Bloomington, IL 61701 2013-10-02
1295161941 Ashvin Patel Obstetrics & Gynecology 31 Country Club Pl, Bloomington, IL 61701 2013-09-25
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124459219 Matilde Francois Surgery 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 2013-11-27
1356687313 John Warren Frisch Surgery 21 Country Club Pl, Bloomington, IL 61701-3486 2012-12-19
1407048036 Charles R. Mckeen, M.d., PC Surgery 413 W 1st St, Bloomington, IN 47403-2403 2007-08-17
1023119740 Terrence M Greene Surgery 419 W 1st St, Bloomington, IN 47403-2403 2006-09-26
1447355383 Surgical Associates of Bloomington, Ill,ltd Surgery 1404 Eastland Drive, Suite 104, Bloomington, IL 61701 2006-09-14
1124089313 Camilo Santiago Surgery 421 W 1st St, Bloomington, IN 47403 2006-03-29
1932194511 Fadi Haddad Surgery 822 W 1st St, Suite 8, Bloomington, IN 47403-2384 2005-09-20
1508863945 James Nicholas Topolgus Jr. Surgery 1419 S Sare Rd, Bloomington, IN 47401-4431 2005-06-30
1396188819 Katherine Elizabeth Smiley Surgery 421 W 1st St, Bloomington, IN 47403 2013-04-15
1992004683 Premier Medical Group, LLC Surgery 1505 Eastland Dr, Suite 2300, Bloomington, IL 61701-3534 2011-03-21
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Competitor

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City BLOOMINGTON
Zip Code 61701

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Dataset Information

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.

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