DR. A ROGER WIEDERHORN (NPI# 1831432947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831432947 |
| Entity Type | Individual |
| Full Name | DR. A ROGER WIEDERHORN |
| Credential | MD |
| Practice Address |
4024 Mansion Ct Nw Washington DC 20007-2149 |
| Practice Telephone | 2023333918 |
| Mailing Telephone | 2023333918 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | VA0101021325 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DEA# AW7036381 | VA0101021325 | 01 |
| Street Address |
4024 MANSION CT NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20007-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1992289334 | Chelsea Carolyn Stahl | Nurse Practitioner | Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 | 2018-09-21 |
| 1205322070 | Etta L Sandler | Social Worker | 3222 N Street, N.w., # 300, Washington, DC 20007 | 2018-07-05 |
| 1609361286 | Sarah Kathryn Thibeau | Speech-Language Pathologist | 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 | 2018-06-26 |
| 1366947871 | Stephen William Kwong | Student in an Organized Health Care Education/Training Program | Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 | 2018-03-27 |
| 1720599020 | Nnenna Sylverline Ewuzie | Home Health Aide | 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 | 2017-10-13 |
| 1457870958 | Chief Logan Health Supplies | Durable Medical Equipment & Medical Supplies | 3220 N St Nw #1400, Washington, DC 20007 | 2017-09-15 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| 1003211129 | Mary Oluwaseyi Akinbo | Registered Nurse | 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 | 2014-10-31 |
| Find all providers in zip 20007 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427435130 | Damian Edward Garcher | Urology | 125 N Franklin Dr Ste 3, Washington, PA 15301-5892 | 2015-05-01 |
| 1245658954 | Boston Medical Group, L.L.C. | Urology | 1020 19th Street N.w., Suite 225, Washington, DC 20006 | 2014-03-31 |
| 1518385327 | Kenneth R Witmer | Urology | 2150 Pennsylvania Ave Nw Ste 3-417, Washington, DC 20037 | 2014-03-31 |
| 1639489016 | John Pirris | Urology | 180 Lemoyne Ave, Washington, PA 15301-3663 | 2010-10-19 |
| 1306169495 | Frederick B. Hendricks, Md PC | Urology | 2141 K St., Suite 308, Washington, DC 20037 | 2010-03-04 |
| 1437471992 | Ross E Krasnow | Urology | 110 Irving St Nw Dept Of, Washington, DC 20010-3017 | 2010-02-24 |
| 1750542429 | Lee Ann Richter | Urology | 106 Irving St Nw Ste Pob 405, National Center for Advanced Pelvic Surgery, Washington, DC 20010-2927 | 2008-06-24 |
| 1467642983 | Urology Specialists PC | Urology | 1912 East National Highway, Washington, IN 47501 | 2007-07-31 |
| 1093926032 | Dorota Joanna Hawksworth | Urology | Walter Reed Army Medical Center Urology, 6900 Georgia Ave, Bldg 2, 4th Fl, Washington, DC 20307-0001 | 2007-05-24 |
| 1194889543 | James Ritchie Jezior | Urology | 4f Walter Reed Army Medical Center Urology, 6900 Georgia Avenue Nw, Washington, DC 20307-0001 | 2006-12-20 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20007 |
Please comment or provide details below to improve the information on DR. A ROGER WIEDERHORN.
| 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.