Kristy Wiebke (NPI# 1982924502, PAC ID# 7810254869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1982924502 |
| PAC ID by PECOS | 7810254869 |
| Professional Enrollment ID | I20171129000555 |
| Full Name | Kristy Wiebke |
| Organization Legal Name | ST. JOSEPH'S VASCULAR GROUP, LLC |
| Address |
5102 Paulsen St Suite 2 Savannah GA 31405-4614 |
| Phone Number | 9129548331 |
| Gender | F |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 6305163650 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110043 | ST JOSEPH'S HOSPITAL - SAVANNAH |
| 110024 | CANDLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5102 Paulsen St, Suite 2, Savannah, GA 31405-4614 | 9129548331 | ST. JOSEPH'S VASCULAR GROUP, LLC |
| Organization Legal Name | ST. JOSEPH'S VASCULAR GROUP, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela M. Hinely | Nurse Practitioner | St. Joseph's Vascular Group, LLC | 5102 Paulsen St, Suite 2, Savannah, GA 31405-4614 |
| Norman L Yates Iii | General Surgery | St. Joseph's Vascular Group, LLC | 5102 Paulsen St, Suite 2, Savannah, GA 31405-4614 |
| Stacy Crawford | Nurse Practitioner | St. Joseph's Vascular Group, LLC | 5102 Paulsen St, Suite 2, Savannah, GA 31405-4614 |
| Street Address |
5102 PAULSEN ST SUITE 2 |
| City | SAVANNAH |
| State | GA |
| Zip | 31405-4614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela M. Hinely | Nurse Practitioner | St. Joseph's Vascular Group, LLC | 5102 Paulsen St, Suite 2, Savannah, GA 31405-4614 |
| Thomas J Campen | Emergency Medicine | 5102 Paulsen St, Suite 5, Savannah, GA 31405-4614 | |
| Norman L Yates Iii | General Surgery | St. Joseph's Vascular Group, LLC | 5102 Paulsen St, Suite 2, Savannah, GA 31405-4614 |
| Stacy Crawford | Nurse Practitioner | St. Joseph's Vascular Group, LLC | 5102 Paulsen St, Suite 2, Savannah, GA 31405-4614 |
| Michael A. Bossak | Pediatric Medicine | Savannah Pediatric Care, LLC | 5102 Paulsen St, Savannah, GA 31405-4601 |
| Madeline Elliott Petty | Rheumatology | Articularis Healthcare Group Inc | 5102 Paulsen St, Savannah, GA 31405-4601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marianne M Fleming | Internal Medicine | Sjc Medical Group, Inc | 836 E, 65th Suite 30, Savannah, GA 31405 |
| Julia Johnson | Hospice/palliative Care | Steward Center for Palliative Care | 5353 Reynolds Ave, Savannah, GA 31405 |
| Sandra W Gordon-kolb | Internal Medicine | Steward Center for Palliative Care | 5353 Reynolds Ave, Savannah, GA 31405 |
| Kristina N Johnson | Family Medicine | Savannah Primary Care Associates LLC | 3776 Hwy 17 S, Savannah, GA 31405-1310 |
| Lakeia M Manor | Chiropractic | Manor Chiropractic LLC | 3025 Bull St, Savannah, GA 31405-2016 |
| Jason Miller | Physician Assistant | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Mary Ann Kilgore | Physical Therapy | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Emma Katherine L Mcintosh | Physician Assistant | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Ray L Wallace | Physician Assistant | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Andrew Vincent Grosse | Physician Assistant | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Find all physicians in zip 31405 | |||
| City | SAVANNAH |
| Zip Code | 31405 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | SAVANNAH + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Kristy Wiebke.
| 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.