Alexis Wiesenthal MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

N1219 Issued in TX

Legal business name

ALEXIS WIESENTHAL MD PA

Practice address

8038 Wurzbach Rd Ste 320
San Antonio, TX 78229-3813

Phone

(210) 614-3365

NPI assigned

May 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alexis Wiesenthal, M.D.

Title

President

Phone

(210) 857-3767

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexis Ann Wiesenthal Miles, MD

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1881663557
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1003175662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6627",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782090627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8038 WURZBACH RD STE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293813",
            "telephone_number": "210-614-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS WIESENTHAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "WIESENTHAL",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-857-3767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N1219",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "N1219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8F9634",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Alexander
• Xawn Alexander
• Alexandria Ortiz LLC
• Alexandria R. Gibbs DDS PLLC
• Alexei Arkhipov, M.D., P.a.
• Jase Aley
• Samuel Perry Alfano, D.D.S.
• Katia Rosario Alfaro-Finkenstadt, MD
• Alexis Alfaro, LPC
• Andrew Lee Alfaro

• Primary Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.