MICHAEL WIEDERKEHR (NPI# 1932153681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932153681 |
| Entity Type | Individual |
| Full Name | MICHAEL WIEDERKEHR |
| Credential | M.D. |
| Practice Address |
411 N Washington Ave Suite 7000 Dallas TX 75246-1713 |
| Mailing Address |
1420 Viceroy Dr Attn: Lashunda Johnson Dallas TX 75235-2208 |
| Practice Telephone | 2143582300 |
| Practice Fax Number | 2145796988 |
| Mailing Telephone | 2143582300 |
| Mailing Fax Number | 2143666127 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2014-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
J6278 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 151448101 | 05 | |
| TX | BCBS BLUELINK # | 3273002 | 01 |
| LA | LOUISIANA MCD # | 1789941 | 01 |
| TX | AETNA # | 7650101 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396759783 | Michael Wiederkehr | Dermatology | 1 W Ridgewood Ave, Suite 103, Paramus, NJ 07652-2359 | 2006-07-28 |
| Street Address |
411 N WASHINGTON AVE SUITE 7000 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602587 | Jane J Lee Md Pa | Allergy & Immunology | 411 N Washington Ave, Ste 2400, Dallas, TX 75246-1713 | 2005-07-08 |
| 1184268872 | Priscilla Morales | Dietitian, Registered | 411 N Washington Ave, Dallas, TX 75246-1713 | 2019-11-05 |
| 1568901015 | Deanna R Darnes | Genetic Counselor, MS | 411 N Washington Ave, Suite #3300, Dallas, TX 75246-1713 | 2017-02-16 |
| 1386182475 | Kaitlyn Nolan | Physical Therapist | 411 N Washington Ave, Suite 4000, Dallas, TX 75246-1713 | 2017-02-08 |
| 1043762255 | Rachel K Parry | Speech-Language Pathologist | 411 N Washington Ave, Ste. 4000, Dallas, TX 75246-1713 | 2016-11-04 |
| 1912457102 | Radha Morar | Physical Therapist | 411 N Washington Ave, Suite 4000, Dallas, TX 75246-1713 | 2016-10-11 |
| 1760935480 | Katie Nicole England | Physical Therapist | 411 N Washington Ave, Suite 4000, Dallas, TX 75246-1713 | 2016-07-28 |
| 1013368547 | Daniel Flatley | Rehabilitation Counselor | 411 N Washington Ave, Suite 5000, Dallas, TX 75246-1713 | 2016-06-27 |
| 1730538711 | Stephanie Hockett | Speech-Language Pathologist | 411 N Washington Ave, Ste 5000, Dallas, TX 75246-1713 | 2016-06-09 |
| 1093160848 | Kaitlyn Nicole White | Speech-Language Pathologist | 411 N Washington Ave, Suite 5000, Dallas, TX 75246-1713 | 2016-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013424860 | Farahat and Associates Pllc | Internal Medicine | 7475 La Vista Dr Apt 1834, Dallas, TX 75214-4132 | 2018-01-02 |
| 1205199619 | Muthanna Mohammad Saraireh | Internal Medicine | 3600 Gaston Ave Ste 904, Dallas, TX 75246-1809 | 2012-06-20 |
| 1053686121 | Lucile Parker Gregg | Internal Medicine | Ut Southwestern Medical Center Nephrology, 5323 Harry Hines Blvd, Dallas, TX 75390-8516 | 2012-03-21 |
| 1164791398 | Kidney and Hypertension Associates of Dallas Pllc | Internal Medicine | 3900 Junius St Ste 615, Dallas, TX 75246-1615 | 2011-12-16 |
| 1548573587 | Mamatha Racheruvu | Internal Medicine | 3571 W Wheatland Rd # 101, Dallas, TX 75237-3461 | 2010-07-20 |
| 1689994956 | Paul Cespedes | Internal Medicine | 7777 Forest Ln Ste C865, Dallas, TX 75230 | 2010-06-09 |
| 1447492756 | Ntkc Management, LLC | Internal Medicine | 3900 Junius Street, Suite 615, Dallas, TX 75246 | 2009-04-01 |
| 1407055155 | Ala'a Farahat | Internal Medicine | 3822 Brown St, Dallas, TX 75219-4014 | 2007-07-13 |
| 1295856003 | Kamalanthan Kolandavelu Sambandam | Internal Medicine | 5939 Harry Hines Suite 700, Dallas, TX 75390 | 2007-04-02 |
| 1033268354 | Soon Chao S Ong | Internal Medicine | 5050 Quorum Dr Ste 700, Dallas, TX 75254-1410 | 2007-01-09 |
| Find all providers in DALLAS | ||||
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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.