DR. WESLEY HOLBROOK WITTELES


Address: 875 Blake Wilbur Drive, Stanford Cancer Center, Stanford, CA 94305-5821
Phone: 6507235007

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
A88702 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 875 BLAKE WILBUR DRIVE
STANFORD CANCER CENTER
City STANFORD
State CA
Zip Code 94305-5821

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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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Competitor

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City STANFORD
Zip Code 94305

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Dataset Information

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.

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