MICHAEL G WIERSCHEM (NPI# 1215032149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215032149 |
| Entity Type | Individual |
| Full Name | MICHAEL G WIERSCHEM |
| Credential | M.D. |
| Practice Address |
5425 W Spring Creek Pkwy Suite 150 Plano TX 75024-4236 |
| Mailing Address |
Po Box 911220 Dallas TX 75391-1230 |
| Practice Telephone | 9724035425 |
| Practice Fax Number | 2145011252 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722340813 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | K7120 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD | P01843066 | 01 |
| TX | 104042005 | 05 | |
| TX | TAX ID # | 751531693 | 01 |
| MEDICARE PTAN | 8B6833 | 01 | |
| TX | 104042004 | 05 |
| Street Address |
5425 W SPRING CREEK PKWY SUITE 150 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-4236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653697 | Malini Hebbur | Pediatrics | 5425 W Spring Creek Pkwy, Suite 175, Plano, TX 75024-4236 | 2005-07-19 |
| 1922668177 | Laura Elizabeth Carlson | Nurse Practitioner | 5425 W Spring Creek Pkwy, Plano, TX 75024-4236 | 2019-06-19 |
| 1992282388 | Kathryn Lyn Holley | Optometrist | 5425 W Spring Creek Pkwy, Plano, TX 75024-4236 | 2018-07-27 |
| 1316484280 | Janelle Plourde | Nurse Practitioner | 5425 W Spring Creek Pkwy, Suite 200, Plano, TX 75024-4236 | 2017-01-30 |
| 1871048611 | 3c Neurosurgery, Inc. | Specialist | 5425 W Spring Creek Pkwy, Suite 133, Plano, TX 75024-4236 | 2016-08-22 |
| 1104277730 | Texas Institute for Neurosciences | Clinical Neuropsychologist | 5425 W Spring Creek Pkwy, Suite 270, Plano, TX 75024-4236 | 2016-06-24 |
| 1942651559 | Alexandra Nicole Aversa | Occupational Therapist | 5425 W Spring Creek Pkwy, Ste 270, Plano, TX 75024-4236 | 2016-06-24 |
| 1225495278 | Lv Dental Pllc | Dentist | 5425 W Spring Creek Pkwy, Suite 165, Plano, TX 75024-4236 | 2016-01-21 |
| 1285007716 | Source One Therapy, LLC | Clinic/Center | 5425 W Spring Creek Pkwy, Suite 270, Plano, TX 75024-4236 | 2015-11-05 |
| 1659771822 | Ashley Seitzer | Nurse Practitioner | 5425 W Spring Creek Pkwy, Suite 175, Plano, TX 75024-4236 | 2014-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164443909 | Texas Southwestern Medical Center At Dallas | Urology | 7800 Preston Rd, Suite 300, Plano, TX 75024 | 2006-07-21 |
| 1275559874 | Collin County Urology | Urology | 1220 Coit Road, Ste 107, Plano, TX 75075-7757 | 2006-07-15 |
| 1871542050 | Fredrick Sebastian Leach | Urology | 7000 W Plano Pkwy Ste 240, Plano, TX 75093-1637 | 2006-05-08 |
| 1114981727 | Stephen J Lieman | Urology | 5300 W Plano Pkwy, Plano, TX 75093-4821 | 2006-04-12 |
| 1649657842 | Ryan Patrick Mooney | Urology | 5300 W Plano Pkwy Ste 200, Plano, TX 75093-4861 | 2015-04-27 |
| 1558611525 | Huong Truong Hegde | Urology | 5425 W Spring Creek Pkwy, Suite 150, Plano, TX 75024-4236 | 2012-09-17 |
| 1104149426 | Collin County Urology | Urology | 1220 Coit Rd, Suite 107, Plano, TX 75075-7757 | 2010-03-02 |
| 1134384514 | North Dallas Urology Associates | Urology | 5300 W Plano Pkwy Ste 200, Plano, TX 75093-4861 | 2008-07-24 |
| 1821282849 | Vairavan Saravanan Subramanian Jr. | Urology | 4708 Alliance Blvd, Ste 685, Plano, TX 75093 | 2007-09-03 |
| 1790880607 | Alan L Freeman | Urology | 1220 Coit Rd, Suite 106, Plano, TX 75075-7757 | 2006-09-14 |
| Find all providers in PLANO | ||||
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| 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.