- Practice location
- 600 Gresham Dr Ste 8630B, Norfolk, VA 23507-1904
- Phone
- 757-388-6115
- Fax
- 757-275-9998
- Last updated
- August 19, 2026
Jonathan Wiesen is an Internal Medicine based in Norfolk, VA. Jonathan Wiesen practices in Norfolk, VA and has the professional credentials of MD. The NPI Number for Jonathan Wiesen is 1912149006 and holds a License No. 48001 (KY). The current practice location address for Jonathan Wiesen is 600 Gresham Dr Ste 8630B, Norfolk, VA 23507-1904 and can be reached out via phone at 757-388-6115 and via fax at 757-275-9998.
Provider Profile Details
- NPI Number
- 1912149006
- Provider Name
- Jonathan Wiesen
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 600 Gresham Dr Ste 8630B, Norfolk, VA 23507-1904
- Phone Number
- 757-388-6115
- Fax Number
- 757-275-9998
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 3, 2009
- Last Update Date
- August 19, 2026
- Certification Date
- August 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 600 Gresham Dr Ste 8630B
Norfolk, VA 23507-1904 - City
- Norfolk
- State
- Virginia
- Zip
- 23507-1904
- Phone Number
- 757-388-6115
- Fax Number
- 757-275-9998
Provider Business Mailing Address Details
- Address
- 30575 Bainbridge RD Ste 200
Solon, OH 44139-2275 - City
- Solon
- State
- OH
- Zip
- 44139-2275
- Phone Number
- 216-297-9477
License Information
- License Number (1)
- 48001
- License State (1)
- KY
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 35.123867
- License State (2)
- OH
- Taxonomy (2)
- Internal Medicine, Critical Care Medicine · 207RC0200X
- License Number (3)
- 0101263288
- License State (3)
- VA
- Taxonomy (3)
- Internal Medicine, Critical Care Medicine · 207RC0200X
- License Number (4)
- 35.123867
- License State (4)
- OH
- Taxonomy (4)
- Internal Medicine, Pulmonary Disease · 207RP1001X
- License Number (5)
- A136059
- License State (5)
- CA
- Taxonomy (5)
- Internal Medicine · 207R00000X
- License Number (6)
- 289108
- License State (6)
- NY
- Taxonomy (6)
- Internal Medicine · 207R00000X
- License Number (7)
- ME129784
- License State (7)
- FL
- Taxonomy (7)
- Internal Medicine · 207R00000X
- License Number (8)
- MD463604
- License State (8)
- PA
- Taxonomy (8)
- Internal Medicine · 207R00000X
- License Number (9)
- 31367
- License State (9)
- NE
- Taxonomy (9)
- Internal Medicine · 207R00000X
- License Number (10)
- 35.123867
- License State (10)
- OH
- Taxonomy (10)
- Internal Medicine · 207R00000X · Primary
- License Number (11)
- 80416
- License State (11)
- GA
- Taxonomy (11)
- Internal Medicine · 207R00000X
- License Number (12)
- 25MA10254600
- License State (12)
- NJ
- Taxonomy (12)
- Internal Medicine · 207R00000X
- License Number (13)
- 34310
- License State (13)
- OK
- Taxonomy (13)
- Internal Medicine · 207R00000X
- License Number (14)
- 57563
- License State (14)
- AZ
- Taxonomy (14)
- Internal Medicine · 207R00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jonathan Wiesen, MD?
The NPI number of Dr. Jonathan Wiesen, MD is 1912149006. It was assigned on April 3, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan Wiesen, MD?
Dr. Jonathan Wiesen, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in KY under license number 48001.
Where does Dr. Jonathan Wiesen, MD practice?
The practice location is 600 Gresham Dr Ste 8630B, Norfolk, VA 23507-1904. The office can be reached at 757-388-6115 (phone) or 757-275-9998 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912149006 directly on the NPPES registry website.