Jeremy Nyle Wiersig MD PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

JEREMY NYLE WIERSIG MD PA

Doing business as

Concord Imaging

Practice address

18802 Meisner Dr
San Antonio, TX 78258

Phone

(210) 572-2222

Fax

(210) 249-2177

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Jeremy N Wiersig, MD

Title

Owner

Phone

(210) 572-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Concord Imaging Doing business as

Locations

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1255370813",
    "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": {
        "organization_name": "JEREMY NYLE WIERSIG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "WIERSIG",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-572-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174822001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soo Cheol Jeong, D.D.S.
• Dave Goldwyn Jequinto, DDS
• Phillip Jerdon
• Jeremias M. Abueme,MD,PA
• Jeremy C. Jones, MD PLLC (Lotus Spine and Pain)
• Jeremy Sun PLLC (Southtown Chiropractic)
• Liliana Jernigan
• Martine Jerome, LCSW
• Jerry W. Patterson, D.P.M, P.a.
• Zereana C Jess-Huff, LPC

• Diagnostic Radiology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Diagnostic Radiology Physician in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.