OrganizationActive
Jon D Wiese MD Facs PA
NPI 1902078512 · Surgery Physician · Longwood, FL
Jon D Wiese MD Facs PA is a Surgery Physician organization in Longwood, FL (NPI 1902078512).
Provider details
- NPI number
- 1902078512
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jon Wiese, President(407) 332-1995
- License
- ME54060 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
521 W State Road 434
Suite 305
Longwood, FL 32750-4984
Phone: (407) 332-1995
Fax: (407) 332-1404
Approximate (ZIP-level) locationGet directions
Mailing address
521 W State Road 434
Longwood, FL 32750-4984
Registry dates
- Enumerated
- 2008-03-24
- Last updated
- 2008-04-03
Frequently asked questions
- What is Jon D Wiese MD Facs PA's NPI number?
- Jon D Wiese MD Facs PA's National Provider Identifier (NPI) is 1902078512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jon D Wiese MD Facs PA?
- Jon D Wiese MD Facs PA is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jon D Wiese MD Facs PA located?
- Jon D Wiese MD Facs PA's practice location on file with NPPES is 521 W State Road 434, Longwood, FL 32750-4984.
- What is Jon D Wiese MD Facs PA's phone number?
- The practice phone number listed in the NPPES registry for Jon D Wiese MD Facs PA is (407) 332-1995.
- Who is the authorized official for Jon D Wiese MD Facs PA?
- The authorized official listed on Jon D Wiese MD Facs PA's NPPES record is Jon Wiese, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jon D Wiese MD Facs PA's NPI active?
- Yes — Jon D Wiese MD Facs PA's NPI (1902078512) is active in the NPPES registry as of the last update on 2008-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.