Eric Paul Wiesner (NPI# 1346582764, PAC ID# 1951523745) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1346582764 |
| PAC ID by PECOS | 1951523745 |
| Professional Enrollment ID | I20190819001205 |
| Full Name | Eric Paul Wiesner |
| Organization Legal Name | MONTROSE SURGICAL ASSOCIATES |
| Address |
611 E Star Ct A Montrose CO 81401-6704 |
| Phone Number | 9702494321 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2013 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2668494808 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060006 | MONTROSE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 611 E Star Ct A, Montrose, CO 81401-6704 | 9702494321 | MONTROSE SURGICAL ASSOCIATES |
| Organization Legal Name | MONTROSE SURGICAL ASSOCIATES |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kieran M Jay | General Surgery | Montrose Surgical Associates | 611 E Star Ct A, Montrose, CO 81401-6704 |
| Cynthia J Millward | General Surgery | Montrose Surgical Associates | 611 E Star Ct A, Montrose, CO 81401-6704 |
| Collin F Sharp | General Surgery | Montrose Surgical Associates | 611 E Star Ct A, Montrose, CO 81401-6704 |
| Street Address |
611 E STAR CT A |
| City | MONTROSE |
| State | CO |
| Zip | 81401-6704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kieran M Jay | General Surgery | Montrose Surgical Associates | 611 E Star Ct A, Montrose, CO 81401-6704 |
| Cynthia J Millward | General Surgery | Montrose Surgical Associates | 611 E Star Ct A, Montrose, CO 81401-6704 |
| Collin F Sharp | General Surgery | Montrose Surgical Associates | 611 E Star Ct A, Montrose, CO 81401-6704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacey R Estes | Physician Assistant | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Tiffany E Russell | Family Medicine | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Theresa C Frick | Certified Nurse Midwife (cnm) | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Mary V Mebane | Family Medicine | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Deborah Ls Westervelt | Clinical Social Worker | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Eric G Boschen | Optometry | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| John T Unger | Chiropractic | 201 S 3rd St, Montrose, CO 81401-3617 | |
| Keith A Lundberg | Chiropractic | 140 S 5th St, Montrose, CO 81401-3663 | |
| Sean Isaac May | Chiropractic | 164 Colorado Ave, Suite A, Montrose, CO 81401-3672 | |
| Nichole L Moorman | Clinical Social Worker | 419 N 1st St, Unit E, Montrose, CO 81401-3703 | |
| Find all physicians in zip 81401 | |||
| City | MONTROSE |
| Zip Code | 81401 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MONTROSE + GENERAL SURGERY |
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| 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.