TANYA A WIESE (NPI# 1992737886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992737886 |
| Entity Type | Individual |
| Full Name | TANYA A WIESE |
| Credential | D.O. |
| Practice Address |
4950 Norton Healthcare Blvd Ste 208 Louisville KY 40241-2847 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5026144179 |
| Practice Fax Number | 5026144450 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
02002644A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
02781 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64066590 | 05 | |
| IN | 200456800 | 05 | |
| KY | ANTHEM | 000000290297 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3430 Newburg Rd Ste 150, Louisville, KY 402182497 | 5024599127 | 5024592156 |
| Street Address |
4950 NORTON HEALTHCARE BLVD STE 208 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144471517 | Kristen Young | Physician Assistant | 4950 Norton Healthcare Blvd Ste 208, Louisville, KY 40241-2847 | 2008-10-03 |
| 1528217320 | Jason C Mann | Anesthesiology | 4950 Norton Healthcare Blvd Ste 208, Louisville, KY 40241 | 2008-09-17 |
| 1053450775 | Chest Medicine Associates Psc | Internal Medicine | 4950 Norton Healthcare Blvd Ste 208, Louisville, KY 40241-2847 | 2007-02-06 |
| 1285720433 | George William Boatwright | Internal Medicine | 4950 Norton Healthcare Blvd Ste 208, Louisville, KY 40241 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1841661410 | Sleep Care Specialist of Louisville | Internal Medicine | 250 E Liberty St Ste 902, Louisville, KY 40202-1538 | 2015-10-08 |
| 1780926279 | Inspired Medical Services, LLC | Internal Medicine | 9805 Brownsboro Rd, Suite 101, Louisville, KY 40241-1125 | 2013-03-22 |
| 1437313475 | Alliance Pulmonary Associates Inc | Internal Medicine | 5860 Louisville Street Ne, Louisville, OH 44641 | 2008-07-17 |
| 1902831761 | John Wesley Mcconnell | Internal Medicine | 100 W Market St Ste 2, Louisville, KY 40202-1332 | 2006-07-11 |
| 1962472738 | Karen Ruth Habenstein | Internal Medicine | 3532 Ephraim Mcdowell Dr, Louisville, KY 40205-3224 | 2006-01-25 |
| 1225030224 | Edwin Carmouche Md Pllc | Internal Medicine | 152 Chenoweth Ln, Louisville, KY 40207-2651 | 2005-08-10 |
| 1730187790 | Timothy Robert Killeen | Internal Medicine | 4606 Greenwood Rd, Louisville, KY 40258 | 2005-07-13 |
| 1831693985 | Harkirat Mann | Internal Medicine | 7926 Preston Hwy, Louisville, KY 40219 | 2018-03-22 |
| 1275949190 | Samantha Baah | Internal Medicine | 3430 Newburg Rd Ste 150, Louisville, KY 40218-2497 | 2014-07-11 |
| 1497185268 | David Tollerud | Internal Medicine | 485 E Gray St, Suite 205a, Louisville, KY 40202-1741 | 2013-11-15 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
Please comment or provide details below to improve the information on TANYA A WIESE.
| 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.