DR. WESLEY HOLBROOK WITTELES (NPI# 1720250186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720250186 |
| Entity Type | Individual |
| Full Name | DR. WESLEY HOLBROOK WITTELES |
| Credential | MD |
| Practice Address |
875 Blake Wilbur Drive Stanford Cancer Center Stanford CA 94305-5821 |
| Practice Telephone | 6507235007 |
| Practice Fax Number | 6507245203 |
| Mailing Telephone | 6507235007 |
| Mailing Fax Number | 6507245203 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A88702 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
875 BLAKE WILBUR DRIVE STANFORD CANCER CENTER |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-5821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932135290 | Melinda L Telli | Internal Medicine | 875 Blake Wilbur Drive, Mc 5820, Stanford, CA 94305 | 2006-06-25 |
| 1659829059 | Michelle S. Gonzales | Nurse Practitioner | 875 Blake Wilbur Drive, Cc-1314, Stanford, CA 94305 | 2016-09-14 |
| 1831569391 | Misty Mahaffey | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305 | 2015-09-28 |
| 1104200575 | Vinay Thomas Fernandes | Otolaryngology | 875 Blake Wilbur Drive, Cc-2226a, Stanford, CA 94305 | 2015-07-16 |
| 1780006916 | Gregory Smith Moran | Nurse Practitioner | 875 Blake Wilbur Drive, Clinic E, Stanford, CA 94305 | 2014-01-07 |
| 1407193386 | Jessie Denise Coty | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305-5820 | 2013-01-11 |
| 1043589880 | Sara Aileen Dudley | Student in an Organized Health Care Education/Training Program | 875 Blake Wilbur Drive, Cc-g222, Stanford, CA 94305-5847 | 2011-12-23 |
| 1568766442 | Siok-hian Tay-kelley | Nurse Practitioner | 875 Blake Wilbur Drive, Gastrointestinal Oncology Stanford Cancer Center, Stanford, CA 94305-2205 | 2011-01-06 |
| 1083918445 | Maricris Bertolano Dacumos | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305 | 2010-12-28 |
| 1164737318 | Scott Victor Bratman | Radiology | 875 Blake Wilbur Drive, Stanford Cancer Center, Stanford, CA 94305-5847 | 2010-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
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| 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 |
|---|---|---|---|---|
| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
| 1578607669 | Sandra Jeane Horning | Internal Medicine | Stanford Cancer Clinic, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2007-02-20 |
| 1760420657 | Bruno Carneiro De Medeiros | Internal Medicine | 269 Campus Dr, Ccsr 1155, Stanford, CA 94305-5101 | 2006-06-03 |
| 1205178530 | Rebecca Richards | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2013-03-25 |
| 1760758916 | Wendy Pang | Internal Medicine | 300 Pasteur Dr, Grant S101, Stanford, CA 94305 | 2012-03-31 |
| 1508013517 | Everett H Meyer | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2008-08-20 |
| 1922281328 | Mehrdad Mobasher | Internal Medicine | 875 Blake Wilbur Drive, Stanford Cancer Center, Stanford, CA 94305-5820 | 2007-12-10 |
| 1467634436 | Wan-jen Hong | Internal Medicine | 875 Blake Wilbur Drive, Stanford, CA 94305-5820 | 2007-12-03 |
| 1154520583 | Ami Siddharth Bhatt | Internal Medicine | 269 Campus Dr, Stanford, CA 94305-5101 | 2007-07-16 |
| 1639371719 | Hanlee P Ji | Internal Medicine | 875 Blake Wilbur Drive, Stanford Cancer Institute, Stanford, CA 94305-5820 | 2007-06-01 |
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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.