Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Wiesen, MD

Individual provider Internal Medicine Physician · NPI 1912149006

Dr. Jonathan Wiesen, MD is an Internal Medicine in Norfolk, Virginia. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2009, 17 years ago. Practices with Mercy Health Physicians Youngstown Specialty Care LLC, a 467-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Arizona, California, Florida and Georgia and 8 more.

Years since qualifying
17
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
AZ, CA, FL, GA, KY, NE
In the registry since
2009
Specialties on file
15
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

600 Gresham Dr Ste 8630B
Norfolk, VA 23507-1904
Phone: (757) 388-6115
Fax: (757) 275-9998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 8201 W Broward Blvd, Plantation, FL 33324-2701 — (216) 297-9477
  • 211 4th St, Alexandria, LA 71301-8421 — (216) 297-9477
  • 1075 Stephenson Ave # D2, Oceanport, NJ 07757-1242 — (551) 486-6214
  • 9500 Euclid Ave, Cleveland, OH 44195-0001 — (216) 444-2336
  • 667 Eastland Ave Se, Warren, OH 44484-4503 — (330) 841-4034
  • 8401 Market St, Youngstown, OH 44512-6725 — (330) 729-4200
  • 1044 Belmont Ave, Youngstown, OH 44504-1006 — (330) 480-3258

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35.123867 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 48001 (KY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 34310 (OK)
Internal Medicine Physician Taxonomy 207R00000X · Licence 57563 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 289108 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MA10254600 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence A136059 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 31367 (NE)
Internal Medicine Physician Taxonomy 207R00000X · Licence 80416 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME129784 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD463604 (PA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 35.123867 (OH)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 0101263288 (VA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 35.123867 (OH)
Hospitalist Physician Taxonomy 208M00000X · Licence 35.123867 (OH)

Record details

NPI number1912149006
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2009
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address30575 Bainbridge Rd Ste 200, Solon, OH 44139-2275

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Mercy Health Physicians Youngstown Specialty Care Llc — 467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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