Active NPI
Steven Wiese, MD
- Emergency Medicine Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- P7870
- Practice address
- 4236 E Everglade Ave
Odessa, TX 79762-7136 - Phone
- (979) 575-8119
- NPI assigned
- Jun 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | P7870 | TX | Primary |
Addresses
Primary practice location
4236 E Everglade Ave
Odessa, TX 79762-7136
Mailing address
4236 E Everglade Ave
Odessa, TX 79762-7136
Phone (979) 575-8119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 S Geneva St
Breckenridge, TX 76424-4702
Phone (254) 559-2241
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P7870 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muenster Hospital District | Emergency Medicine | Current | Accepting new patients |
| Southwest Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Muenster Hospital District | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Frio Hospital Association | Current | Accepting new patients | |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Frio Hospital Association | Emergency Medicine | Current | Accepting new patients |
Locations
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424
1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
605 N Maple St
Muenster, TX 76252
Phone (940) 759-2271
151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126
305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a7e8884c-0f8a-4040-a7e2-b8409572d6c9/
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Critical Access Hospital Clinic/Center
- Pearsall, TX
- NPI 1952308132
Emergency Medicine
-
- Emergency Medicine Physician
- Muenster, TX
- NPI 1972556009
-
- Emergency Medicine Physician
- Electra, TX
- NPI 1831299122
-
- Clinic/Center
- Pearsall, TX
- NPI 1053195032
-
- Rural Health Clinic/Center
- Muenster, TX
- NPI 1497750962
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Pecos, TX
- NPI 1831170273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1003075532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4236 E EVERGLADE AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797627136",
"telephone_number": "979-575-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4236 E EVERGLADE AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797627136",
"telephone_number": "979-575-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESE",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-09",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "P7870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.