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

Jordan Wiebe, DO

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1215590831

Jordan Wiebe, DO is a Plastic and Reconstructive Surgery in Phoenix, Arizona. Graduated from Oklahoma State University College of Osteopathic Medicine in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Arizona and Connecticut.

Years since qualifying
7
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
AZ, CT
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2801 E Camelback Rd Ste 100
Phoenix, AZ 85016-4363
Phone: (480) 680-9903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 012361 (AZ)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 80521 (CT)

Record details

NPI number1215590831
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 18, 2019
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address2801 E Camelback Rd, Phoenix, AZ 85016-4363

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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