JEREMY NYLE WIERSIG MD PA (NPI# 1255370813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255370813 |
| Entity Type | Organization |
| Organization Name | JEREMY NYLE WIERSIG MD PA |
| Other Organization Name | CONCORD IMAGING |
| Practice Address |
18802 Meisner Dr San Antonio TX 78258 |
| Mailing Address |
Po Box 1888 Greenville TX 75403 |
| Practice Telephone | 2105722222 |
| Practice Fax Number | 2102492177 |
| Mailing Telephone | 8009452455 |
| Mailing Fax Number | 9034532541 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-03-12 |
| Authorized Official Name | JEREMY N WIERSIG (OWNER) |
| Authorized Official Telephone | 2105722222 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 174822001 | 05 |
| Other Name | Type Code |
|---|---|
| Concord Imaging | Doing Business As Name - Organization |
| Street Address |
18802 MEISNER DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225096969 | Jeremy Nyle Wiersig | Radiology | 18802 Meisner Dr, San Antonio, TX 78258 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294118 | Yolanda Salas Vergara | Radiology | 215 E Quincy St Ste 100, San Antonio, TX 78215-2032 | 2020-04-24 |
| 1568095123 | Century Radiology Medical Group, Inc | Radiology | 7102 Bethencourt, San Antonio, TX 78209-3407 | 2020-02-21 |
| 1760030852 | Francis Joseph Carabin | Radiology | 318 E Nakoma St, San Antonio, TX 78216-2795 | 2019-08-31 |
| 1518421619 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 12202 Chambers Cv, San Antonio, TX 78253-6357 | 2019-01-23 |
| 1649751058 | Mri Centers of Texas LLC - San Antonio Series | Radiology | 4400 Vance Jackson Rd, San Antonio, TX 78230-5323 | 2018-08-23 |
| 1457879215 | Concord Imaging | Radiology | 18802 Meisner Drive, San Antonio, TX 78252-4251 | 2017-08-31 |
| 1699157289 | Apurva Ashok Bonde | Radiology | 4502 Medical Dr # L340, San Antonio, TX 78229-4402 | 2015-06-19 |
| 1316337140 | Carl R Keener | Radiology | 15303 Huebner Rd Ste 11, San Antonio, TX 78248-0983 | 2015-02-02 |
| 1912260472 | John Damon Pavlus | Radiology | 331 E Fest St, San Antonio, TX 78204-1954 | 2012-06-20 |
| 1215235916 | Justin Costello | Radiology | 3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, TX 78234-6200 | 2011-03-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on JEREMY NYLE WIERSIG MD PA.
| 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.