JEAN A WIEDEMAN M.D.
NPI 1144203423
Pediatrics - Pediatric Infectious Diseases in Sacramento, CA
NPI Status: Active since November 21, 2005
Contact Information
2516 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817
Phone: (916) 734-3557
Fax: (916) 734-7890
- Individual
- Female
- Pediatrics
- Pediatric Infectious Diseases
- PECOS Enrolled
About JEAN WIEDEMAN
This page provides the complete NPI Profile along with additional information for Jean Wiedeman, a pediatrician established in Sacramento, California with a medical specialization in Pediatrics, focusing in pediatric infectious diseases . The healthcare provider is registered in the NPI registry with number 1144203423 assigned on November 2005. The practitioner's primary taxonomy code is 2080P0208X with license number C043137 (CA). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1144203423
- Provider Name
- JEAN A WIEDEMAN M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2516 STOCKTON BLVD SACRAMENTO, CA 95817
- Location Phone
- (916) 734-3557
- Location Fax
- (916) 734-7890
- Mailing Address
- 419 HERON PL DAVIS, CA 95616
- Mailing Phone
- (530) 759-0726
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-21-2005
- Last Update Date
- 11-29-2011
- Code Navigator
A pediatrician like Jean Wiedeman is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Infectious Diseases
- Taxonomy Code
- 2080P0208X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C043137
- License State
- CA
- Taxonomy Description
- A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00C0431370 | OTHER (01) | CA | MEDICAL# |
| F74255 | MEDICARE UPIN (02) | CA |
Medicare Participation & PECOS Enrollment Status
Jean Wiedeman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 2 | 0 | 3 | 4 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 4 | 0 | 6 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 4 + 0 + 6 + 4 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1144203423 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902890023 | DR. LAVJAY BUTANI Individual | Pediatrics (Pediatric Nephrology) | 2516 STOCKTON BLVD TICON II, 3RD FLOOR SACRAMENTO, CA 95817 (916) 734-8118 |
| 1689656928 | MS. LISA MARIE ASHLEY RN, PNP Individual | Nurse Practitioner | 2516 STOCKTON BLVD TICON LL SACRAMENTO, CA 95817 (916) 734-7618 |
| 1023090206 | DR. JEANNY KIM PARK M.D. Individual | Pediatrics (Pediatric Cardiology) | 2516 STOCKTON BLVD SACRAMENTO, CA 95817 (916) 734-3589 |
| 1932181567 | DR. RICHARD J.D. PAN MD, MPH Individual | Pediatrics | 2516 STOCKTON BLVD UCD DEPARTMENT OF PEDIATRICS SACRAMENTO, CA 95817 (916) 734-1518 |
| 1801879812 | CYNTHIA DIANE KING R.N. Individual | Registered Nurse | 2516 STOCKTON BLVD SACRAMENTO, CA 95817 (916) 734-5912 |
| 1144203100 | DR. SUDESH PAUL MAKKER M.D. Individual | Specialist | 2516 STOCKTON BLVD SACRAMENTO, CA 95817 (916) 734-8118 |
| 1114901246 | DR. MARY BETH METCALF MD Individual | Pediatrics | 2516 STOCKTON BLVD DEPARTMENT OF PEDIATRICS, 3RD FLOOR SACRAMENTO, CA 95817 (916) 734-5387 |
| 1114901303 | DR. PAT C HARDY MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 2516 STOCKTON BLVD DEPARTMENT OF PEDIATRICS 3RD FLOOR SACRAMENTO, CA 95817 (916) 734-2781 |
| 1700860541 | BARBRA LUCILLE SCHACH RN, FNP Individual | Nurse Practitioner (Family) | 2516 STOCKTON BLVD SACRAMENTO, CA 95817 (916) 734-6485 |
| 1407831852 | DR. LARRY I CORMAN M.D. Individual | Pediatrics (Pediatric Infectious Diseases) | 2516 STOCKTON BLVD SACRAMENTO, CA 95817 (916) 734-7618 |
| 1023093499 | DR. DENNIS MICHAEL STYNE M.D. Individual | Pediatrics (Pediatric Endocrinology) | 2516 STOCKTON BLVD SACRAMENTO, CA 95817 (916) 734-0129 |
| 1073598470 | CLAIRE GENEVIEVE BENNETT R.N. Individual | Registered Nurse (Diabetes Educator) | 2516 STOCKTON BLVD SACRAMENTO, CA 95817 (916) 734-0494 |
| 1447235155 | MS. NICOLE S GLASER M.D. Individual | Pediatrics (Pediatric Endocrinology) | 2516 STOCKTON BLVD TICON II SACRAMENTO, CA 95817 (916) 734-0406 |
| 1184609943 | DR. ALEXANDER A KON MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 2516 STOCKTON BLVD UC DAVIS, DEPT OF PEDIATRICS SACRAMENTO, CA 95817 (916) 734-2131 |
| 1588640247 | DR. MARK DION PARRISH M.D. Individual | Pediatrics (Pediatric Cardiology) | 2516 STOCKTON BLVD DEPT OF PEDIATRICS, ROOM 333 SACRAMENTO, CA 95817 (916) 734-4720 |
| 1821074584 | MS. GERRE MARRION BERG RN Individual | Registered Nurse | 2516 STOCKTON BLVD SACRAMENTO, CA 95817 (916) 734-8124 |
| 1255317806 | MS. AMY CATHERINE KUZMICH RN, MS, CPNP Individual | Nurse Practitioner (Pediatrics) | 2516 STOCKTON BLVD SACRAMENTO, CA 95817 (916) 734-4790 |
| 1710963996 | MS. JANICE LYNNE PORTER R.D. Individual | Dietitian, Registered | 2516 STOCKTON BLVD SACRAMENTO, CA 95817 (916) 734-6486 |
| 1437139060 | DR. ANITA JEANNE MOON-GRADY M.D. Individual | Pediatrics (Pediatric Cardiology) | 2516 STOCKTON BLVD SACRAMENTO, CA 95817 (916) 734-5470 |
| 1124095138 | MS. ANN MARIE NICHOLS R.N. Individual | Registered Nurse (Pediatrics) | 2516 STOCKTON BLVD STE 361 SACRAMENTO, CA 95817 (916) 734-3189 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144203423, enumerated in the NPI registry as an "individual" on November 21, 2005
The provider is located at 2516 Stockton Blvd Sacramento, Ca 95817 and the phone number is (916) 734-3557
The provider's speciality is Pediatrics with taxonomy code 2080P0208X with a focus in Pediatric Infectious Diseases
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on November 21, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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