Theodore F Wiesner (NPI# 1497173389, PAC ID# 0749538247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1497173389 |
| PAC ID by PECOS | 0749538247 |
| Professional Enrollment ID | I20180731001752 |
| Full Name | Theodore F Wiesner |
| Organization Legal Name | JESMOND RIDGE MEDICAL SERVICES A MEDICAL CORPORATION |
| Address |
525 W Acacia St Stockton CA 95203-2405 |
| Phone Number | 2099445550 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7517235773 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050122 | DAMERON HOSPITAL |
| 030036 | CHANDLER REGIONAL MEDICAL CENTER |
| 030119 | MERCY GILBERT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1955 W Frye Rd, Chandler, AZ 85224-6282 | 4809634561 | CHANDLER EMERGENCY MEDICAL GROUP LLC |
| 525 W Acacia St, Stockton, CA 95203-2405 | 2099445550 | JESMOND RIDGE MEDICAL SERVICES A MEDICAL CORPORATION |
| Organization Legal Name | JESMOND RIDGE MEDICAL SERVICES A MEDICAL CORPORATION |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Tinnesz | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Brian A Reuter | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Joshua Kolb | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Gerard Demers | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Hang T Tran | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Kenneth S Whitlow | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Sonia Sanga | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Tatiana D Thema | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Brenda P Smith | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Street Address |
525 W ACACIA ST |
| City | STOCKTON |
| State | CA |
| Zip | 95203-2405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravi V Sharma | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Nicholas Tinnesz | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Tarandeep S Arora | Hospitalist | Hospitalist Medicine Physicians of California - Stockton, PC | 525 W Acacia St, Stockton, CA 95203-2405 |
| Jasleen K Khaira | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Ahmed Y Javed | Hospitalist | Hospitalist Medicine Physicians of California - Stockton, PC | 525 W Acacia St, Stockton, CA 95203-2405 |
| Aliasghar Mohyuddin | Internal Medicine | Hospitalist Medicine Physicians of California - Stockton, PC | 525 W Acacia St, Stockton, CA 95203-2405 |
| Brian A Reuter | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Joshua Kolb | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Sreekanth Murupudi | Internal Medicine | Hospitalist Medicine Physicians of California - Stockton, PC | 525 W Acacia St, Stockton, CA 95203-2405 |
| Christopher M Arismendi | General Surgery | 525 W Acacia St, Stockton, CA 95203-2405 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Southmayd | Obstetrics/gynecology | 420 W Acacia, Suite 11, Stockton, CA 95203 | |
| Gerard Demers | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Rajavardhan Bandaru | Internal Medicine | Hospitalist Medicine Physicians of California - Stockton, PC | 525 W Acacia St, Stockton, CA 95203-2405 |
| Venkatramana Srinivasan | Anesthesiology | Cep America - Anesthesia PC | 525 W Acacia St, Stockton, CA 95203-2405 |
| Hang T Tran | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Sudha Vani Saduvala | Internal Medicine | Hospitalist Medicine Physicians of California Inc | 525 W Acacia St, Stockton, CA 95203-2405 |
| Kenneth S Whitlow | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Sonia Sanga | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Robert Steven Locke | Anesthesiology | Cep America - Anesthesia PC | 525 W Acacia St, Stockton, CA 95203-2405 |
| Nhia Yang | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Find all physicians in zip 95203 | |||
| City | STOCKTON |
| Zip Code | 95203 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | STOCKTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Theodore F Wiesner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.