Active NPI
Jeremy Nyle Wiersig, MD
- Diagnostic Radiology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- H5500
- Practice address
- 18802 Meisner Dr
San Antonio, TX 78258 - Phone
- (210) 572-2222
- Fax
- (210) 249-2177
- NPI assigned
- May 3, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | H5500 | TX | Primary |
Addresses
Primary practice location
18802 Meisner Dr
San Antonio, TX 78258
Mailing address
PO Box 1888
Greenville, TX 75403
Phone (800) 945-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136889611 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040605000202 | TX | Practitioner - Diagnostic Radiology | 7911989686 | Practice locations: San Antonio, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H5500 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Concord Imaging at the Quarry, PA | Diagnostic Radiology | Current | Accepting new patients |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Acd-Sa, LTD. | Past | Accepting new patients | |
| M&S Radiology Associates, PA | Past | Accepting new patients | |
| Acd-Sa, LTD. | Past | Accepting new patients |
Locations
18802 Meisner Dr
San Antonio, TX 78258
Phone (210) 572-2222
7220 Louis Pasteur Dr
Ste 115
San Antonio, TX 78229
Phone (210) 614-8899
423 Treeline Park
Ste 100
San Antonio, TX 78209
Phone (210) 704-0000
Organizations & group practices 10
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.
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1457879215
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1700049400
-
dba Touchstone Imaging Stone Oak
- Physiological Laboratory
- San Antonio, TX
- NPI 1194117853
-
dba Touchstone Imaging Medical Center
- Physiological Laboratory
- San Antonio, TX
- NPI 1912399676
-
dba Sendero Imaging & Treatment Center
- Radiology Clinic/Center
- San Antonio, TX
- NPI 1881639615
-
dba Sendero Imaging and Treatment Center
- Ambulatory Surgical Clinic/Center
- San Antonio, TX
- NPI 1962661884
-
- Specialist
- San Antonio, TX
- NPI 1265423693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1225096969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1888",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "75403",
"telephone_number": "800-945-2455",
"fax_number": "903-453-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18802 MEISNER DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78258",
"telephone_number": "210-572-2222",
"fax_number": "210-249-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIERSIG",
"first_name": "JEREMY",
"middle_name": "NYLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "H5500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136889611",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.