JOSEPH CHRISTIAN WIEDEMER MD
NPI 1790434660
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since March 19, 2022PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-5795 Get Directions Write a Review

NPPES record last updated: March 19, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Joseph Christian Wiedemer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH CHRISTIAN WIEDEMER MD (NPI 1790434660) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790434660
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSEPH CHRISTIAN WIEDEMERCredential: MD
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address593 Eddy StProvidence, RI 02903-4923
Sole ProprietorNo
Enumeration DateMarch 19, 2022
NPPES CertifiedMarch 19, 2022
NPI 1790434660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
593 EDDY ST, Providence, RI 02903

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joseph Christian Wiedemer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Wiedemer's NPI number?

The NPI number for Joseph Wiedemer is 1790434660. It was assigned to this individual provider in the NPPES registry on March 19, 2022.

Where is Joseph Wiedemer located?

Joseph Wiedemer practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-5795.

What is Joseph Wiedemer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joseph Wiedemer enrolled in Medicare?

Yes. Joseph Wiedemer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Wiedemer was last updated on March 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.