Steven M Wiese (NPI# 1003075532, PAC ID# 1759501323) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1003075532 |
| PAC ID by PECOS | 1759501323 |
| Professional Enrollment ID | I20141002000356 |
| Full Name | Steven M Wiese |
| Organization Legal Name | CONCORD MEDICAL GROUP OF TEXAS PLLC |
| Address |
200 S Geneva St Breckenridge TX 76424-4702 |
| Phone Number | 2545592241 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7810117223 |
| Number of Group Practice Members | 232 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451377 | REEVES COUNTY HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 200 S Geneva St, Breckenridge, TX 76424-4702 | 2545592241 | CONCORD MEDICAL GROUP OF TEXAS PLLC |
| Organization Legal Name | CONCORD MEDICAL GROUP OF TEXAS PLLC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth W Peters | Emergency Medicine | Concord Medical Group of Texas Pllc | 303 Sandy Corner Rd, El Campo, TX 77437-9535 |
| Gerald B Cobb | Emergency Medicine | Concord Medical Group of Texas Pllc | 1353 N Travis St, Liberty, TX 77575-3549 |
| Timothy M Dannemiller | Family Medicine | Concord Medical Group of Texas Pllc | 1601 W 11th Pl, Big Spring, TX 79720-4114 |
| Robert G Cochran | Family Medicine | Concord Medical Group of Texas Pllc | 44 N Cummings St, Bellville, TX 77418-1347 |
| Conrado J Ordonez | Emergency Medicine | Concord Medical Group of Texas Pllc | 1601 W 11th Pl, Big Spring, TX 79720-4114 |
| Darren E Hamm | Family Medicine | Concord Medical Group of Texas Pllc | 1601 W 11th Pl, Big Spring, TX 79720-4114 |
| Shery Malaty | Family Medicine | Concord Medical Group of Texas Pllc | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 |
| David N Whitten | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| John E Jones | Family Medicine | Concord Medical Group of Texas Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Scott A Bryson | Emergency Medicine | Concord Medical Group of Texas Pllc | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 |
| Street Address |
200 S GENEVA ST |
| City | BRECKENRIDGE |
| State | TX |
| Zip | 76424-4702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph A Ouma | Emergency Medicine | Stephens Memorial Hospital District | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| David N Whitten | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Ren Zhang | Cardiovascular Disease (cardiology) | Hendrick Provider Network | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Orlando K Beckum | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Christopher Oguayo | Internal Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Adel Gindy | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Jose A Rodriguez | Family Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| John S Howell | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Ahmed A Mattar | Family Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Marcie D Lusk | Nurse Practitioner | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wade B Toombs | Optometry | 1510 W Walker St, Breckenridge, TX 76424-3230 | |
| Brian E Masters | Chiropractic | 1224 W Walker St, Breckenridge, TX 76424-3342 | |
| Jeanene Renee Poston | Clinical Social Worker | 117 E Walker St, Breckenridge, TX 76424-3624 | |
| Marcela Martinez | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Diana Lee Price | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Sandra Usaiwevu | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Cortney Rachelle Berkley | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Carol Lynn Copelin | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Cynthia A Perry | Internal Medicine | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Jim T Lawrence | General Practice | 1000 E Williams, J.t. Lawrence M.d., Breckenridge, TX 76424-4624 | |
| Find all physicians in zip 76424 | |||
| City | BRECKENRIDGE |
| Zip Code | 76424 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BRECKENRIDGE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Steven M Wiese.
| 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.