SHERMAN WAYNE WIENEKE (NPI# 1275088031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275088031 |
| Entity Type | Individual |
| Full Name | SHERMAN WAYNE WIENEKE |
| Credential | AGNP |
| Practice Address |
4502 Medical Dr San Antonio TX 78229 |
| Mailing Address |
4502 Medical Dr San Antonio TX 78229-4402 |
| Practice Telephone | 2103588555 |
| Practice Fax Number | 2103588576 |
| Mailing Telephone | 2103588555 |
| Mailing Fax Number | 2103588576 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2019-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
0187139 | CO | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP131815 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 391086101 | 05 | |
| TX | CSHCN | 391086102 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12717 Shops Pkwy Ste 500, Austin, TX 787386623 | 5122228667 |
| Street Address |
4502 MEDICAL DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061017 | Sandra E Sanchez-reilly | Internal Medicine | 4502 Medical Dr, San Antonio, TX 78229 | 2005-05-27 |
| 1356959217 | Andrew Sharp | Nurse Practitioner | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2020-07-16 |
| 1588280895 | Juan Manuel Martinez Escallon | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2020-06-23 |
| 1982220331 | Gabriel Roman Souza | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2020-06-22 |
| 1548883689 | Sheldon Sugioka | Radiologic Technologist | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2020-05-23 |
| 1306469895 | Hrishikesh Das | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2020-05-19 |
| 1427671932 | Jacob Daniel Weston | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2020-05-19 |
| 1396368882 | Yimage Ahmed | Surgery | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2020-05-19 |
| 1376165001 | Jun Hung | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2020-05-15 |
| 1407477060 | Nicolas Alexander Morton-gonzaba | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2020-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981066 | Gabriel David Alonso | Nurse Practitioner | 12554 Hillside Rnch, San Antonio, TX 78254-6266 | 2020-08-01 |
| 1811458094 | Kimberly Detherow | Nurse Practitioner | 126 Main Plz, San Antonio, TX 78205-2745 | 2019-03-28 |
| 1730685108 | Dimitra Denise Dunlap | Nurse Practitioner | 21827 Barton Woods, San Antonio, TX 78259-2350 | 2018-04-03 |
| 1780186601 | Melissa Ortiz | Nurse Practitioner | 1205 N Loop 1604 W Ste 232, San Antonio, TX 78258-4631 | 2018-03-07 |
| 1659687333 | Robert Chuck Hunt | Nurse Practitioner | 2011 E Houston St Ste 101a, San Antonio, TX 78202-2916 | 2010-08-19 |
| 1124207733 | Diana Lynn Stansbury-bartolomeo | Nurse Practitioner | 1714 Sw Military Dr, San Antonio, TX 78221-1411 | 2007-10-31 |
| 1700912904 | Paula Frances Christianson-silva | Nurse Practitioner | 7703 Floyd Curl Dr Rm 1.422, San Antonio, TX 78229-3901 | 2007-02-24 |
| 1174503742 | Keith Leilan Morgan | Nurse Practitioner | 16302 Ross Oak St, San Antonio, TX 78247-1333 | 2006-01-19 |
| 1841849171 | Linda Esmeralda Gutierrez | Nurse Practitioner | 8401 Datapoint Dr Ste 300, San Antonio, TX 78229-5925 | 2019-09-09 |
| 1164980827 | Daniel Pizana | Nurse Practitioner | 7979 Wurzbach Rd, San Antonio, TX 78229-4427 | 2019-03-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on SHERMAN WAYNE WIENEKE.
| 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.