Michael G Wierschem, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

K7120 Issued in TX

Practice address

5425 W Spring Creek Pkwy
Suite 150
Plano, TX 75024-4236

Phone

(972) 403-5425

Fax

(214) 501-1252

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIFHAA

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.

• North Dallas Urology Associates

  • Urology Physician
  • Plano, TX
  • NPI 1669419107
  NPD (past)
• Urology Associates of North Texas LLP

  • Urology Physician
  • Weatherford, TX
  • NPI 1407849961
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1215032149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY",
            "address_2": "SUITE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244236",
            "telephone_number": "972-403-5425",
            "fax_number": "214-501-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERSCHEM",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "K7120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104042005",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104042004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01843066",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "751531693",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8B6833",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Babbs Wiebe, PH.D
• James N Wiebe, M.S., LMFT-A
• Sheryl Lynn Wiedermann, AU.D, CCC-A
• Todd Mitchell Wien, MD
• Brittany Wierman, LPC
• Jennifer Noel Wigant, RD/LD
• Sheri F Wiggins, CCC/SLP
• Nicole Jolene Wiggs, PT
• Jamie Wightman
• Denton J Wiginton

• Urology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.