ERIC R. WIEDOWER (NPI# 1154633857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154633857 |
| Entity Type | Individual |
| Full Name | ERIC R. WIEDOWER |
| Credential | DO |
| Practice Address |
7945 Wolf River Blvd Germantown TN 38138-1733 |
| Mailing Address |
7714 Poplar Ave Ste 200 Attn: Credentialing Germantown TN 38138-3941 |
| Practice Telephone | 9016830055 |
| Mailing Telephone | 9016830055 |
| Mailing Fax Number | 9019226722 |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2017-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
24301 | MS | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
3015 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q022586 | 05 | |
| MS | 02720541 | 05 |
| Street Address |
7945 WOLF RIVER BLVD |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268592 | Suhail M Obaji | Internal Medicine | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2005-07-13 |
| 1851907703 | Christen Ann Coleman | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2020-09-16 |
| 1861001794 | Stephanie Ham | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2020-07-27 |
| 1760037287 | Michael Robert Seitz | Registered Nurse | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-08-02 |
| 1134785769 | Tiffany Sophia Bennett | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-05-20 |
| 1962068833 | Laura Leigh Smith | Occupational Therapist | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-05-15 |
| 1649733502 | Tiffany Hunt Kinard | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-04-08 |
| 1669933461 | Ellen Wills | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-03-26 |
| 1144781022 | Courtney Renae Susser | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-03-25 |
| 1063978948 | Kathryn Wright | Registered Nurse | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184624454 | Mid-south Cancer Center | Internal Medicine | 8000 Wolf River Blvd, Suite 100, Germantown, TN 38138-1727 | 2005-07-28 |
| 1144610353 | West Clinic, P.C. | Internal Medicine | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2015-01-26 |
| 1780927244 | Jason Porter | Internal Medicine | 7945 Wolf River Blvd, Germantown, TN 38138 | 2013-04-03 |
| 1801103643 | Syed Sameer Nasir | Internal Medicine | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2010-08-31 |
| 1932339876 | Manjari Pandey | Internal Medicine | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2009-07-24 |
| 1710122601 | Ramakrishna Battini | Internal Medicine | 7945 Wolf River Blvd, Germantown, TN 38138 | 2008-12-08 |
| 1518165729 | Carmel S Verrier | Internal Medicine | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2007-07-10 |
| 1972726560 | Memphis Cancer Center | Internal Medicine | 8000 Wolf River Blvd, Suite 100, Germantown, TN 38138-1727 | 2007-04-11 |
| 1497890701 | Timothy F Goggins | Internal Medicine | W180n11070 River Ln, Germantown, WI 53022-3109 | 2007-02-21 |
| 1679529473 | David C Portnoy | Internal Medicine | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2006-05-25 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on ERIC R. WIEDOWER.
| 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.