JON D WIESE MD FACS PA – Surgery Physician, NPI 1902078512

JON D WIESE MD FACS PA is a healthcare provider. based in Longwood, Florida. specializing in Surgery Physician. The organization holds a License No. ME54060 (FL). The NPI Number for JON D WIESE MD FACS PA is 1902078512

Main info

Organization
Name
JON D WIESE MD FACS PA
NPI
1902078512
Phone
(407) 332-1995
Address
521 W STATE ROAD 434
Authorized Official
DR. JON D. WIESE PRESIDENT M.D.
Enumeration Date
24 March 2008
Last Update Date
3 April 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for JON D WIESE MD FACS PA

  • 521 W STATE ROAD 434

    SUITE 305

    LONGWOOD, FL 327504984

    Phone: (407) 332-1995

    Fax: (407) 332-1404

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32750)

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Frequently asked questions

Where can patients find JON D WIESE MD FACS PA's NPI?
You can confirm JON D WIESE MD FACS PA with NPI 1902078512; it appears in the national provider directory.
Does this profile mean JON D WIESE MD FACS PA is currently active?
Yes — JON D WIESE MD FACS PA appears active in the national provider directory.
Can you summarize JON D WIESE MD FACS PA's specialty in plain language?
Clinically, the directory lists JON D WIESE MD FACS PA with Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JON D WIESE MD FACS PA?
The page summarizes Longwood, Florida for JON D WIESE MD FACS PA; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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