DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY RYAN WIENKE, MD

Deactivated

JEFFREY RYAN WIENKE, MD is a Diagnostic Radiology healthcare provider located in GREENVILLE, South Carolina. NPI 1558313494 is deactivated in the NPPES registry. Verify at CMS.

Diagnostic Radiology · GREENVILLE, SC

This NPI has been deactivated. The record was deactivated on July 17, 2007. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1558313494
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2006 (1.1666666666667 yrs)
Last Updated
Dec 9, 2022
Deactivated
Jul 17, 2007
License
28690 (SC)

Practice Information

Address
1210 W FARIS RD
GREENVILLE, SC, 296054444
Browse SC providers · Browse ZIP 29605
Phone
8645221800
Fax
8645221806
Primary Specialty
Diagnostic Radiology
2085R0202X

Other Diagnostic Radiology Providers in GREENVILLE, SC

Name Credential NPI
DR. BLAKE CHRISTOPHER POLEYNARD MD 1508865510
JOHN BRIAN UDALL MD 1851390884
BONNIE LOUISE ANDERSON MD 1013916022
TODD SAMUEL RUSHE MD 1720087745
FREDERICK W DREYER III MD 1639161128
DR. CAREY MACDONALD HINDMAN M.D. 1396736153
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.