Active NPI
Eric R. Wiedower, DO
- Hematology & Oncology Physician
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 3015
- Practice address
- 7945 Wolf River Blvd
Germantown, TN 38138-1733 - Phone
- (901) 683-0055
- NPI assigned
- Jul 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 3015 | TN | Primary |
| Hematology & Oncology Physician | 207RH0003X | 24301 | MS |
Addresses
Primary practice location
7945 Wolf River Blvd
Germantown, TN 38138-1733
Mailing address
7714 Poplar Ave Ste 200
Attn: Credentialing
Germantown, TN 38138-3941
Phone (901) 683-0055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08484348 | Medicaid | MS | |
| Q022586 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1588 Union Ave
Memphis, TN 38104-3729
Phone (901) 300-1562
2001 State Dr
Corinth, MS 38834-9324
Phone (662) 286-3694
240 Grandview Dr
Brighton, TN 38011-4253
Phone (901) 475-0678
7668 Airways Blvd
Southaven, MS 38671-5304
Phone (662) 349-9556
7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 683-0055
Hospital & facility affiliations
- Homechoice Health Services - Hernando
- Accentcare Home Health of Greenwood
- Baptist Memorial Hospital Desoto
- St Francis Hospital
- Regional One Health
- Methodist Healthcare - Olive Branch Hospital
- Baptist Memorial Hospital North Ms
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.15 of 100
- Quality
- 83.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24301 | MS | MD | Hematology & Oncology Physician |
| 3015 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The West Clinic P.C. | Hematology & Oncology | Current | Accepting new patients |
Locations
7668 Airways Blvd
Southaven, MS 38671
Phone (662) 349-9556
240 Grandview Dr
Brighton, TN 38011
Phone (901) 475-0678
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410
7714 Poplar Ave
Ste 200
Memphis, TN 38138
Phone (901) 322-9080
7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000
1290 Kelley Dr
Paris, TN 38242
Phone (270) 554-0011
Interoperability endpoints
- ewiedower22831@direct.bmhcc.org
- ewiedower26049@mlh.direct-ci.com
Organizations & group practices 1
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.
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1952326977
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1144213117
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
-
- Home Health Agency
- Greenwood, MS
- NPI 1235270588
-
- Home Health Agency
- Hernando, MS
- NPI 1467826958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1154633857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7714 POPLAR AVE STE 200",
"address_2": "ATTN: CREDENTIALING",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383941",
"telephone_number": "901-683-0055",
"fax_number": "901-922-6722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7945 WOLF RIVER BLVD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381733",
"telephone_number": "901-683-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDOWER",
"first_name": "ERIC",
"middle_name": "R.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-10",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TN",
"license": "3015",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MS",
"license": "24301",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08484348",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q022586",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.