DR. ELLEN A WIEGNER (NPI# 1831379122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831379122 |
| Entity Type | Individual |
| Full Name | DR. ELLEN A WIEGNER |
| Credential | MD |
| Practice Address |
3301 C Street Suite 550 Sacramento CA 95816 |
| Mailing Address |
3400 Data Drive Physician Support Services Rancho Cordova CA 95670-7956 |
| Practice Telephone | 9165363200 |
| Practice Fax Number | 9162352182 |
| Mailing Telephone | 9163792948 |
| Mailing Fax Number | 9168587065 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2012-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A105233 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
A105233 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3301 C STREET SUITE 550 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528049186 | Anthony J Mathios | Pathology | 3301 C Street, #103c, Sacramento, CA 95816-3363 | 2005-11-10 |
| 1063850840 | Danielle Marie Tartar | Dermatology | 3301 C Street, Suite 1400, Sacramento, CA 95816 | 2013-06-13 |
| 1891139010 | Baran Ho | Dermatology | 3301 C Street, Uc Davis Department of Dermatology Suite 1300, Sacramento, CA 95816 | 2013-04-18 |
| 1912165259 | Priyal Pragnesh Dholakiya | Obstetrics & Gynecology | 3301 C Street, Building 550, Sacramento, CA 95816 | 2008-05-22 |
| 1952592743 | Derek Kevin Marsee | Pathology | 3301 C Street, Suite 200-e, Sacramento, CA 95816-3363 | 2007-08-06 |
| 1457478646 | Shinjiro Hirose | Surgery | 3301 C Street, Uc Davis, Cannery Business Park, Sacramento, CA 95816 | 2007-03-23 |
| 1558415000 | Zarir Eruch Karanjawala | Specialist | 3301 C Street, Suite 200-e, Sacramento, CA 95816-3302 | 2007-01-22 |
| 1023034022 | Delphine W Ong | Internal Medicine | 3301 C Street, Building 500, Sacramento, CA 95816 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619136835 | Arta Monir Monjazeb | Radiology | 4501 X Street, G120, Uc Davis Health System Department of Radiation Oncology, Sacramento, CA 95817-0000 | 2008-06-03 |
| 1780863340 | Megan Eileen Daly | Radiology | 4501 X St # G140, Department of Radiation Oncology, Sacramento, CA 95817-2229 | 2007-10-31 |
| 1235148495 | Vincent John Lee | Radiology | 8100 Bruceville Rd, Sacramento, CA 95823-2353 | 2006-08-05 |
| 1235152232 | Richard K. Valicenti | Radiology | 4501 X Street, Ground Floor, Sacramento, CA 95817-2229 | 2006-07-25 |
| 1457334534 | Tony S Quang | Radiology | 4501 X St Ste 0140, Sacramento, CA 95817-2229 | 2005-11-22 |
| 1164420808 | Harvey Brian Wolkov | Radiology | 2800 L St, Sacramento, CA 95816-5616 | 2005-07-07 |
| 1952308041 | Garrick Chi-rey Chang | Radiology | 2801 K St Ste 502, Sacramento, CA 95816-5119 | 2005-07-05 |
| 1669479853 | Mark David Logsdon | Radiology | 2825 Capitol Ave Ste 502, Sacramento, CA 95816 | 2005-07-01 |
| 1710983358 | Susan Weishenn Lee | Radiology | 4001 J St, Sacramento, CA 95819-3626 | 2005-06-27 |
| 1285011254 | Ky Nam Bao Nguyen | Radiology | 4501 X St, G140, Sacramento, CA 95817-2229 | 2015-04-29 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.