THERESA SUZANNE WIGINTON (NPI# 1720048499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720048499 |
| Entity Type | Individual |
| Full Name | THERESA SUZANNE WIGINTON |
| Other Name | THERESA SUZANNE PHILLIPS |
| Credential | MD |
| Practice Address |
205 W Windcrest St Ste 310 Fredericksburg TX 78624-4478 |
| Practice Telephone | 8309972191 |
| Practice Fax Number | 8309978202 |
| Mailing Telephone | 8309972191 |
| Mailing Fax Number | 8309978202 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2014-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
J8714 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8AJ320 | 01 |
| TX | 113481904 | 05 |
| Street Address |
205 W WINDCREST ST STE 310 |
| City | FREDERICKSBURG |
| State | TX |
| Zip Code | 78624-4478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357669 | Cynthia Hui Kim | Registered Nurse | 1020 S State, Tx-16, Fredericksburg, TX 78624 | 2019-07-12 |
| 1023515533 | Fredericksburg Eye Associates, Pllc | Ophthalmology | 755 S. Washington St., Fredericksburg, TX 78624 | 2018-04-11 |
| 1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
| 1225568546 | David Ronald Rickerhauser | Counselor | 400 Prairie View Trail, Fredericksurg, TX 78624 | 2017-06-19 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1578836532 | James W. Harrington Jr. | Otolaryngology | 644 Red Oak Lane, Fredericksburg, TX 78624 | 2012-02-21 |
| 1366676447 | Pamela Elaine Hansen | Counselor | 607 Pesimmon Ct., Fredericksburg, TX 78624 | 2009-05-05 |
| 1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
| 1669669024 | Rebecca S Prescott | Dentist | 408 N Milam St, Fredericksburg, TX 78624 | 2007-10-01 |
| 1407046626 | Charles Richard Massey Jr. | General Practice | 103 Goehmann Lane, Fredericksburg, TX 78624 | 2007-07-25 |
| Find all providers in zip 78624 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922398726 | Arun Singh Chhabra | Psychiatry & Neurology | 1101 Sam Perry Blvd Ste 414, Fredericksburg, VA 22401-4466 | 2011-04-13 |
| 1912201724 | John Thomas Hutton | Psychiatry & Neurology | 751 Bryant Rd, Fredericksburg, TX 78624-6906 | 2011-01-08 |
| 1063738235 | Matthew Emanuel Stotz | Psychiatry & Neurology | 108 N Edison St, Fredericksburg, TX 78624-3220 | 2010-04-13 |
| 1255666772 | Ralph Gillespie Greenlee Jr. | Psychiatry & Neurology | 213 W Creek St, Fredericksburg, TX 78624-3732 | 2009-10-16 |
| 1831163534 | Leigh Anne Bains | Psychiatry & Neurology | 205 W Windcrest St Ste 340, Fredericksburg, TX 78624 | 2006-02-17 |
| 1811999550 | Paul M. Colopy | Psychiatry & Neurology | 220 Executive Center Pkwy, Fredericksburg, VA 22401-3107 | 2005-08-12 |
| 1134414667 | Frehiwot Derbew Temesgen | Psychiatry & Neurology | 1101 Sam Perry Blvd Ste 414, Fredericksburg, VA 22401-4466 | 2011-06-13 |
| 1699946079 | Centr Pointe Neurology and Neurodiagnostics | Psychiatry & Neurology | 3920 Plank Rd, Suite # 120, Fredericksburg, VA 22407-7104 | 2008-03-13 |
| 1164631255 | Sandra D Crouse | Psychiatry & Neurology | 1101 Sam Perry Blvd, Suite 414, Fredericksburg, VA 22401-4467 | 2007-05-22 |
| 1598974040 | Neurology Associates of Central Virginia LLC | Psychiatry & Neurology | 1101 Sam Perry Blvd, Suite 414, Fredericksburg, VA 22401-4467 | 2007-05-22 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 78624 |
Please comment or provide details below to improve the information on THERESA SUZANNE WIGINTON.
| 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.