BETH A WIEDEL (NPI# 1245295393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245295393 |
| Entity Type | Individual |
| Full Name | BETH A WIEDEL |
| Credential | M.D. |
| Practice Address |
5801 Research Park Boulevard Suite 400 Madison WI 53719 |
| Practice Telephone | 6087296300 |
| Practice Fax Number | 6087291099 |
| Mailing Telephone | 6087296300 |
| Mailing Fax Number | 6087291099 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2012-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 47529 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
5801 RESEARCH PARK BOULEVARD SUITE 400 |
| City | MADISON |
| State | WI |
| Zip Code | 53719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083670582 | Katherine S Sample | Obstetrics & Gynecology | 5801 Research Park Boulevard, Suite 400, Madison, WI 53719 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114486990 | Claire Leone Wendland | Obstetrics & Gynecology | 1180 Observatory Dr, Madison, WI 53706-1320 | 2019-03-19 |
| 1548656168 | Ashley D. Durward | Obstetrics & Gynecology | 5801 Research Park Blvd Ste 400, Madison, WI 53719-6003 | 2015-04-09 |
| 1215348180 | Molly Kathleen Lepic | Obstetrics & Gynecology | 2402 Winnebago St # W, Madison, WI 53704-5341 | 2014-05-14 |
| 1316212137 | Robert Lewis Goldenberg | Obstetrics & Gynecology | 126 Race Hill Rd, Madison, CT 06443-1627 | 2012-03-12 |
| 1386897007 | Robert Dave Auerbach | Obstetrics & Gynecology | 29 Kimberly Ln, Madison, CT 06443-2080 | 2008-10-25 |
| 1932399193 | Heidi Wendell Brown | Obstetrics & Gynecology | 600 Highland Ave Box 6188, Department of Ob/gyn, Madison, WI 53792-0001 | 2007-07-25 |
| 1275731929 | Leslie F Mason | Obstetrics & Gynecology | 115 Fountains Blvd, Suite A, Madison, MS 39110-6344 | 2007-07-04 |
| 1356458012 | Melissa M Bacon | Obstetrics & Gynecology | 113 Mcrae Pt, Madison, MS 39110-6579 | 2006-08-25 |
| 1326087248 | Jacqueline Y Sylvester | Obstetrics & Gynecology | 235 Portal Lane Suite A, Madison, AL 35758-5827 | 2006-06-06 |
| 1659336642 | Cynthia K. Wautlet | Obstetrics & Gynecology | University of Wi Medical Foundation, 4122 East Towne Blvd, Madison, WI 53704 | 2006-04-20 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.