DR. GEORGIA L WIESNER (NPI# 1881695104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881695104 |
| Entity Type | Individual |
| Full Name | DR. GEORGIA L WIESNER |
| Credential | MD |
| Practice Address |
3601 The Vanderbilt Clinic Nashville TN 37232-5100 |
| Practice Telephone | 6153223000 |
| Mailing Telephone | 6153223000 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
MD48589 | TN | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
35067621 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | WELLCARE | 364132 | 01 |
| OH | UNISON | 000000224342 | 01 |
| OH | BUCKEYE | 745997 | 01 |
| OH | BCMH | 0995393 | 01 |
| OH | AETNA | 4614845 | 01 |
| OH | ANTHEM | 000000529595 | 01 |
| OH | 0995393 | 05 |
| Street Address |
3601 THE VANDERBILT CLINIC |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122310 | Gary T Smith | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2637 | 2005-05-23 |
| 1649879396 | Tiffany Marie Spetz | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-10-23 |
| 1902403017 | Danielle Farideh Guy | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-10-02 |
| 1497362297 | Madison Miller | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-09-25 |
| 1528675584 | Sara Catherine Brooks | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5050 | 2020-09-24 |
| 1790391076 | Margaret Eileen Schneider | Nurse Anesthetist, Certified Registered | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-09-22 |
| 1659987451 | Delaney Jane Boyce | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-09-17 |
| 1891301636 | Alicia Mattachione | Occupational Therapist | 3601 The Vanderbilt Clinic, Nashville, TN 37232-4689 | 2020-09-17 |
| 1093321861 | Bettye Anne Woodard | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0011 | 2020-09-17 |
| 1801400858 | Samantha Rivers Green | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
| Find all providers in zip 37232 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578690806 | Tiffanee A Lenzi | Medical Genetics | 2201 Murphy Ave Ste 210, Nashville, TN 37203-1872 | 2007-02-27 |
| 1093892002 | Jeffrey Roser Smith | Medical Genetics | 1310 24th Ave S, Va Tennessee Valley Healthcare System, Nashville, TN 37212 | 2006-11-01 |
| 1326122441 | Rizwan Hamid | Medical Genetics | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-25 |
| 1609963735 | Debra Freedenberg | Medical Genetics | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
| 1649362070 | John Phillips | Medical Genetics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2006-09-30 |
| 1336231745 | Marshall Summar | Medical Genetics | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| 1205859113 | Tuya Pal | Medical Genetics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-9416 | 2006-07-25 |
| 1922024223 | Tyler E Reimschisel | Medical Genetics | 3601 Tvc, Nashville, TN 37232-0001 | 2006-07-14 |
| 1851328322 | Saba I Sile | Medical Genetics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2006-06-28 |
| 1811985989 | Thomas Matthew Morgan | Medical Genetics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2005-10-12 |
| Find all providers in NASHVILLE | ||||
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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.