Tyler J. Wiedeman (NPI# 1861976037, PAC ID# 7517210206) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1861976037 |
| PAC ID by PECOS | 7517210206 |
| Professional Enrollment ID | I20181026000089 |
| Full Name | Tyler J. Wiedeman |
| Organization Legal Name | MERCY HEALTH PHYSICIANS LIMA, LLC |
| Address |
750 W High St Suite 250 Lima OH 45801-3959 |
| Phone Number | 4192277399 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3375607351 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360066 | ST RITA'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 750 W High St, Suite 250, Lima, OH 45801-3959 | 4192277399 | MERCY HEALTH PHYSICIANS LIMA, LLC |
| 770 W High St, Lima, OH 45801-3962 | MERCY HEALTH PHYSICIANS LIMA, LLC | |
| 770 W High St, Lima, OH 45801-3990 | 4199965240 | MERCY HEALTH PHYSICIANS LIMA, LLC |
| Organization Legal Name | MERCY HEALTH PHYSICIANS LIMA, LLC |
| Physicians | 190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Ann Beckett-avery | Clinical Social Worker | Mercy Health Physicians Lima, LLC | 582 N Cable Rd, Lima, OH 45805-2133 |
| Stephanie L Rodriguez | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 967 Bellefontaine Ave, Lima, OH 45804-2888 |
| Dale W Case | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 2195 Allentown Rd, Lima, OH 45805-1705 |
| Jami J Blackburn | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 2745 Fort Amanda Rd, Lima, OH 45805-4805 |
| Jessica England | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 604 W N Ave, Ada, OH 45810-1041 |
| Danielle R Westrick | Family Medicine | Mercy Health Physicians Lima, LLC | 1800 E 5th St, Suite 1, Delphos, OH 45833-9180 |
| Brenda K Fish | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 3224 Jarvis Dr, Lima, OH 45807 |
| Garrison Vasile Morin | Otolaryngology | Mercy Health Physicians Lima, LLC | 770 W High St, Suite 460, Lima, OH 45801-5908 |
| Anil K Muddada | Nephrology | Mercy Health Physicians Lima, LLC | 1207 E Columbus St, Kenton, OH 43326-1760 |
| Susan E Hamilton | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 803 W Market St, Suite 200, Lima, OH 45805-2796 |
| Street Address |
750 W HIGH ST SUITE 250 |
| City | LIMA |
| State | OH |
| Zip | 45801-3959 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman O Moser | Nephrology | Mercy Health Physicians Lima, LLC | 750 W High St, Suite 150, Lima, OH 45801-3961 |
| Ann M Turnwald | Registered Dietitian Or Nutrition Professional | Mercy Health Physicians Lima, LLC | 750 W High St, Suite 250, Lima, OH 45801-3959 |
| Charles R Potter | Otolaryngology | Mercy Health Physicians Lima, LLC | 750 W High St, Suite 250, Lima, OH 45801-3959 |
| Scott M Wendroth | Pathology | Lima Pathology Associates Inc | 750 W High St, Suite 400, Lima, OH 45801-2967 |
| Patrick C Feasel | Pathology | Lima Pathology Associates Inc | 750 W High St, Suite 400, Lima, OH 45801-2967 |
| Jonah O Ukiwe | Nephrology | Mercy Health Physicians Lima, LLC | 750 W High St, Suite 250, Lima, OH 45801-3959 |
| Mathew F Ellis | Chiropractic | 750 W High St, Suite 200, Lima, OH 45801-3995 | |
| Eric Fisher | Internal Medicine | Mercy Health Physicians Lima, LLC | 750 W High St, Suite 250, Lima, OH 45801-3959 |
| Matthew Martin Akers | Plastic and Reconstructive Surgery | Renaissance Reconstructive and Aesthetic Surgery Inc | 750 W High St, Suite 300, Lima, OH 45801-2967 |
| Robert A Wheeler | Internal Medicine | Mercy Health Physicians Lima, LLC | 750 W High St, Suite 250, Lima, OH 45801-3959 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrell P Long | Podiatry | 1134 W Robb Ave, Lima, OH 45801-2404 | |
| Connie M Oen | Nurse Practitioner | Health Partners of Western Ohio | 1550 N Main St, Lima, OH 45801-2823 |
| Kimberly Lee Brocklehurst | Nurse Practitioner | Health Partners of Western Ohio | 1550 N Main St, Lima, OH 45801-2823 |
| Ashley N Conrad | Nurse Practitioner | Health Partners of Western Ohio | 1550 N Main St, Lima, OH 45801-2823 |
| Trisha M Kleman | Nurse Practitioner | Lima Memorial Professional Corporation | 240 W Northern Ave, Suite 3, Lima, OH 45801-2839 |
| Akeem A Adeniyi | Nurse Practitioner | Lima Memorial Professional Corporation | 240 W Northern Ave, Suite 3, Lima, OH 45801-2839 |
| Katherine E Hoying | Nurse Practitioner | Lima Memorial Professional Corporation | 240 W Northern Ave, Suite 3, Lima, OH 45801-2839 |
| Nathan Corry Clinton | Family Medicine | Lima Memorial Professional Corporation | 240 W Northern Ave, Suite 3, Lima, OH 45801-2839 |
| Denise L Harris | Nurse Practitioner | Lima Memorial Professional Corporation | 240 W Northern Ave, Lima, OH 45801-2839 |
| Michael R Heaphy Sr. | Dermatology | 750 W High St, Suite 300, Lima, OH 45801-2967 | |
| Find all physicians in zip 45801 | |||
| City | LIMA |
| Zip Code | 45801 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LIMA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tyler J. Wiedeman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.