Wifi Medical Doctors

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

J7776 Issued in TX

Legal business name

WIFI MEDICAL DOCTORS

Practice address

109 Gallery Cir Ste 127
San Antonio, TX 78258-3328

Phone

(210) 267-1197

Fax

(210) 802-4926

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

Ben Joseph Elizondo, MD

Title

Owner

Phone

(210) 237-5498

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1275990996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 GALLERY CIR STE 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583328",
            "telephone_number": "210-267-1197",
            "fax_number": "210-802-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 GALLERY CIR STE 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583328",
            "telephone_number": "210-267-1197",
            "fax_number": "210-802-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIFI MEDICAL DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "ELIZONDO",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-237-5498",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J7776",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "TX",
            "license": "J7776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh A. Wiesehan, MS, LPC-A
• Alison Wiesenthal, M.D.
• Martin Jerome Wiesenthal, MD
• Michelle Wieters
• Zoey Wieters
• Katie Christine Wiggins-Dohlvik, MD
• Alexis Nicole Wiggins
• Crystal Brook Wiggins
• Damiyah Jahri Wiggins
• David Roy Wiggins, O.D.

• Pediatric Gastroenterology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.