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

Erwin Wietrick

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063040475

Erwin Wietrick is a Family Practice in Middletown, Ohio. Qualified in 2020, 6 years ago. Practices with Alliance Physicians Inc, a 314-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
6
Licensed in
KY, OH
In the registry since
2020
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6147 State Route 122 Ste 200
Middletown, OH 45005-5201
Phone: (513) 261-3500
Fax: (513) 261-3509
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 811 E Parrish Ave Ste 102, Owensboro, KY 42303-3258 — (270) 688-2077
  • 1924 Alcoa Hwy # U-67, Knoxville, TN 37920-1511 — (865) 305-9350

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 06262 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 34.017377 (OH)

Record details

NPI number1063040475
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Alliance Physicians Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Middletown