Richard Wiesemann (NPI# 1306871793, PAC ID# 5890758163) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1306871793 |
| PAC ID by PECOS | 5890758163 |
| Professional Enrollment ID | I20041108000655 |
| Full Name | Richard Wiesemann |
| Organization Legal Name | LOUISVILLE RADIOLOGY IMAGING CONSULTANTS PLLC |
| Address |
894 Fred Lively Rd Bowling Green KY 42104-7424 |
| Phone Number | 5024680343 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2264436120 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180105 | MONROE COUNTY MEDICAL CENTER |
| 181323 | OHIO COUNTY HOSPITAL |
| 180093 | BAPTIST HEALTH MADISONVILLE |
| 181304 | TRIGG COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 894 Fred Lively Rd, Bowling Green, KY 42104-7424 | 5024680343 | LOUISVILLE RADIOLOGY IMAGING CONSULTANTS PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 98% |
| Organization Legal Name | LOUISVILLE RADIOLOGY IMAGING CONSULTANTS PLLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William G Tagg | Diagnostic Radiology | Louisville Radiology Imaging Consultants Pllc | 233 Beech Tree Ln, Madisonville, KY 42431-8059 |
| Leslie Scott Miller | Diagnostic Radiology | Louisville Radiology Imaging Consultants Pllc | 6788 Sonya Dr, Nashville, TN 37209-5222 |
| Dianne L Brann | Diagnostic Radiology | Louisville Radiology Imaging Consultants Pllc | 6108 Ware Rd, Paris, KY 40361-9068 |
| Bruce E Burton | Diagnostic Radiology | Louisville Radiology Imaging Consultants Pllc | 811 E Parrish Ave, Owensboro, KY 42303-3258 |
| Mark E Sturgill | Diagnostic Radiology | Louisville Radiology Imaging Consultants Pllc | 2318 Julianne Cir, Newburgh, IN 47630-9056 |
| Jeffrey S Jones | Diagnostic Radiology | Louisville Radiology Imaging Consultants Pllc | 7216 Wood Briar Rd, Louisville, KY 40241-6240 |
| William C Harrison | Diagnostic Radiology | Louisville Radiology Imaging Consultants Pllc | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9619 |
| William Granville Batte | Diagnostic Radiology | Louisville Radiology Imaging Consultants Pllc | 900 Hospital Dr, Madisonville, KY 42431-1653 |
| Byron Wayne Johnson | Diagnostic Radiology | Louisville Radiology Imaging Consultants Pllc | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Anoop Duggal | Diagnostic Radiology | Louisville Radiology Imaging Consultants Pllc | 253 Rock Hill Rd, Millersville, PA 17551-9738 |
| Street Address |
894 FRED LIVELY RD |
| City | BOWLING GREEN |
| State | KY |
| Zip | 42104-7424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam R Kesri | Internal Medicine | 6040 Scottsville Rd, Bowling Green, KY 42104-0388 | |
| Michael J Collins | Family Medicine | 1340 Ellis Pl, Bowling Green, KY 42104-0602 | |
| James R Farrage Jr. | Physical Medicine and Rehabilitation | 1725 Mcintosh St, Bowling Green, KY 42104-1037 | |
| Freda Y Hubbard | Nurse Practitioner | Greenview Primecare LLC | 730 Campbell Ln, Bowling Green, KY 42104-1039 |
| Joseph R Allen | Family Medicine | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Haley G. Brewster | Nurse Practitioner | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Trina Rena Warden | Optometry | Love and Warden Eye Care, Pllc | 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104-1083 |
| Tammy H Love | Optometry | Love and Warden Eye Care, Pllc | 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104-1083 |
| Brandon Michael Goodpaster | Chiropractic | Spine Stop Bowling Green Pllc | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 |
| Darrell L Tade | Optometry | Precision Eye Care Professionals, Pllc | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 |
| Find all physicians in zip 42104 | |||
| City | BOWLING GREEN |
| Zip Code | 42104 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BOWLING GREEN + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Richard Wiesemann.
| 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.