Lee R Wiederhold Iii (NPI# 1134323736, PAC ID# 5597898304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1134323736 |
| PAC ID by PECOS | 5597898304 |
| Professional Enrollment ID | I20100730000568 |
| Full Name | Lee R Wiederhold Iii |
| Organization Legal Name | UTMB FACULTY GROUP PRACTICE |
| Address |
301 University Blvd Galveston TX 77555-5302 |
| Phone Number | 4097722222 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2005 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 3375456734 |
| Number of Group Practice Members | 731 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450018 | UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON |
| 450076 | THE UNIVERSITY OF TEXAS M.D. ANDERSON CANCER CENTER |
| Address | Phone | Organization |
|---|---|---|
| 301 University Blvd, Galveston, TX 77555-5302 | 4097722222 | UTMB FACULTY GROUP PRACTICE |
| 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 | 7137926127 | PHYSICIANS REFERRAL SERVICE |
| Organization Legal Name | UTMB FACULTY GROUP PRACTICE |
| Physicians | 812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hilma Peiso Bochantin | Nurse Practitioner | Utmb Faculty Group Practice | 2020 E Hwy 6, Alvin Pediatric and Adult Primary C, Alvin, TX 77511-8507 |
| Natasha Andrea Ruda | Physician Assistant | Utmb Faculty Group Practice | 701 E Davis St A, Utmb Rmch Conroe, Conroe, TX 77301-3102 |
| Jessica Jean Lamphere | Nurse Practitioner | Utmb Faculty Group Practice | 400 Harborside Dr, Utmb Primary Care Pavilion, Galveston, TX 77555-0001 |
| Andrea Layne Bowden | Physician Assistant | Utmb Faculty Group Practice | 511 Park Grove Ln, Katy, TX 77450-1759 |
| Leslie A Nabors | Physician Assistant | Utmb Faculty Group Practice | 136 E Hospital Dr, Utmb Health Family Medicine Anglet, Angleton, TX 77515-4161 |
| Teresa K Bowman | Nurse Practitioner | Utmb Faculty Group Practice | 14823 Southwest Fwy, Sugar Land, TX 77478-5016 |
| Erika D Schulze | Nurse Practitioner | Utmb Faculty Group Practice | 128 W Parkwood Ave, Friendswood Pediatric/adult Care, Friendswood, TX 77546-5431 |
| Wendi L Peralta | Nurse Practitioner | Utmb Faculty Group Practice | 6710 Stewart Rd, Suite 100, Galveston, TX 77551-2216 |
| Shawn P Nishi | Pulmonary Disease | Utmb Faculty Group Practice | 132 E Hospital Dr, Utmb Health Angleton Danbury Campus, Angleton, TX 77515-4112 |
| Nicholas J Defilippis | Anesthesiology | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-5302 |
| Street Address |
301 UNIVERSITY BLVD |
| City | GALVESTON |
| State | TX |
| Zip | 77555-5302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas J Defilippis | Anesthesiology | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-5302 |
| Sangeeta Jain | Obstetrics/gynecology | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-5302 |
| Angela J Shepherd | Family Medicine | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-5302 |
| Chilvana V Patel | Neurology | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-5302 |
| Gunvir Singh Gill | Interventional Radiology | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-5302 |
| Laura D Ellender | Nurse Practitioner | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-5302 |
| Morgan M Cangelosi | Nurse Practitioner | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-5302 |
| Wasyl Szeremeta | Otolaryngology | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-5302 |
| Shahzad Jokhio | Pulmonary Disease | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-5302 |
| Farrah N Siddiqui | Otolaryngology | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-5302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Jean Lamphere | Nurse Practitioner | Utmb Faculty Group Practice | 400 Harborside Dr, Utmb Primary Care Pavilion, Galveston, TX 77555-0001 |
| Christopher John Zahner | Pathology | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-0001 |
| Brittany Jeanelle Johnson | Nurse Practitioner | Utmb Faculty Group Practice | 400 Harborside Dr, Utmb Primary Care Pavilion, Galveston, TX 77555-0001 |
| Amy Schroder Bezold | Family Medicine | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-0001 |
| Shearin L Knox | Anesthesiology | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-0001 |
| James John Mckeith | Emergency Medicine | Barrier Reef Emergency Physicians Pllc | 301 University Blvd, Galveston, TX 77555-0100 |
| Whitney Faulconer | Emergency Medicine | Barrier Reef Emergency Physicians Pllc | 301 University Blvd, Galveston, TX 77555-0100 |
| Gregory Rumph | Internal Medicine | Barrier Reef Emergency Physicians Pllc | 301 University Blvd, Galveston, TX 77555-0100 |
| Erin L Aufderheide | Emergency Medicine | Barrier Reef Emergency Physicians Pllc | 301 University Blvd, Galveston, TX 77555-0100 |
| Joseph P Maslar | Emergency Medicine | Barrier Reef Emergency Physicians Pllc | 301 University Blvd, Galveston, TX 77555-0100 |
| Find all physicians in zip 77555 | |||
| City | GALVESTON |
| Zip Code | 77555 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | GALVESTON + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Lee R Wiederhold Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.