RICHARD J. WIESEMANN (NPI# 1306871793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306871793 |
| Entity Type | Individual |
| Full Name | RICHARD J. WIESEMANN |
| Credential | M.D. |
| Practice Address |
4001 Dutchmans Ln Radiology Louisville KY 40207-4714 |
| Mailing Address |
450 Executive Park Louisville KY 40207-4204 |
| Practice Telephone | 5028931183 |
| Mailing Telephone | 5028973214 |
| Mailing Fax Number | 5028977685 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2009-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
17400 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64174006 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629220488 | Richard Lee Wiesemann II | Physician Assistant | 1555 Liberty Ln Ste C, Missoula, MT 59808-2001 | 2008-10-10 |
| Street Address |
4001 DUTCHMANS LN RADIOLOGY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697449 | Jerry Clanton | Specialist | 4001 Dutchmans Ln, Ste 5c, Louisville, KY 40207-4737 | 2005-05-27 |
| 1508483769 | Amber Nicole Folske | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2020-07-02 |
| 1386269371 | Sharri Marie Fitzpatrick | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2020-06-15 |
| 1144868498 | Loran Marie Bernert | Doula | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-12-17 |
| 1760020531 | Meaghan Elisabeth Baumgardner | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-12-12 |
| 1306495874 | Matthew Kirk | Physician Assistant | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-09-08 |
| 1780142984 | Kristal Beach Howard | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-03-06 |
| 1891279584 | Jacqueline Blake Russ | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-09-19 |
| 1093294415 | Conley Kathryn Labrake | Occupational Therapist | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-08-07 |
| 1427554658 | Jessica Jane Henderson | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| 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 |
|---|---|---|---|---|
| 1730541046 | Michael Daniel Dahle | Radiology | 530 S Jackson St # St-c07, Louisville, KY 40202-1675 | 2016-03-25 |
| 1881031680 | Breckenridge Medical Group, Psc | Radiology | 974 Breckenridge Ln, Suite 133, Louisville, KY 40207-4619 | 2013-06-03 |
| 1073767737 | Blue Grass Diagnostics | Radiology | 820 S. 6th St, Louisville, KY 40203 | 2008-11-07 |
| 1336302462 | Ryan Patrick Currier | Radiology | 222 S 1st St Ste 501, Louisville, KY 40202-5302 | 2008-07-09 |
| 1477714822 | Christopher Dale Henley | Radiology | 5129 Dixie Hwy Ste 100, Louisville, KY 40216-1727 | 2008-06-18 |
| 1871778720 | Alexander Ding | Radiology | 530 S Jackson St Ste C07, Louisville, KY 40202-1675 | 2008-01-09 |
| 1114114931 | Melissa Hite Potts | Radiology | 234 E Gray St Ste 850, Louisville, KY 40202-1901 | 2007-09-25 |
| 1245432079 | Bradley L. Williams | Radiology | 234 E. Gray Street, Suite 850, Louisville, KY 40202-1901 | 2007-06-04 |
| 1124158001 | Vaclav I Pokorny | Radiology | 1606 Two Springs Place, Louisville, KY 40207-2375 | 2007-03-07 |
| 1336270057 | Amanda Weckman Carricato | Radiology | 4915 Norton Healthcare Blvd Ste 102, Louisville, KY 40241-2860 | 2007-03-07 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.