Megan S K Wiese MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

29168 Issued in AZ

Legal business name

MEGAN S K WIESE MD PC

Practice address

2130 Mesquite Ave Unit 106
Lake Havasu City, AZ 86403-6897

Phone

(928) 854-6249

Fax

(928) 854-6301

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Doug Wiese

Title

Office Manager

Phone

(928) 854-6249

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Megan SK Wiese, MD

  • Obstetrics & Gynecology Physician
  • Lake Havasu City, AZ
  • NPI 1407865868
  NPD
• Catherine J Hoover, RNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1437168895
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1033394002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 MESQUITE AVE UNIT 106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036897",
            "telephone_number": "928-854-6249",
            "fax_number": "928-854-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MESQUITE AVE UNIT 106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036897",
            "telephone_number": "928-854-6249",
            "fax_number": "928-854-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN S K WIESE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-854-6249"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "29168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grayson Fleming McHargue, CRNA
• Judith A McKee, CRNA
• Colleen Lynn McShea, MS, CCC-SLP
• MD Health, Inc.
• Mediterranean Mental Health Center, Inc.
• Michael J Melde, DMD
• Mesquite Medical Associates,LTD
• Stacey Lee Meyer, APRN
• Michael S Rosen PC
• Midwest Internal Medicine PLLC

• Obstetrics & Gynecology Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.