Ralph Thane Wiegman, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

F2113 Issued in TX

Practice address

643 S Great Southwest Pkwy
Ste 102
Grand Prairie, TX 75051-1056

Phone

(972) 647-0994

Fax

(972) 647-0521

NPI assigned

Sep 27, 2005

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

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Obhg Texas Holdings, P.a.

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1083917769
  Medicare reassignment NPD
• Pediatrix Medical Group of Texas Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
  • NPI 1649377359

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508852310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 S GREAT SOUTHWEST PKWY",
            "address_2": "STE 102",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511056",
            "telephone_number": "972-647-0994",
            "fax_number": "972-647-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 S GREAT SOUTHWEST PKWY",
            "address_2": "STE 102",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511056",
            "telephone_number": "972-647-0994",
            "fax_number": "972-647-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGMAN",
        "first_name": "RALPH",
        "middle_name": "THANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F2113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nykesha White, LPC
• Shontell Anita White, AGPCNP
• Shari J Whitehead, RN, IBCLC
• Dai'Kevia Shanpelle Whitfield, LPC
• Victoria Whitham, DPT
• Carlos Guillermo Wiesse, D.D.S.
• Brooke Wiggins
• Brianna Cheyenne Wilcox-Curley
• Shelly Rose Wilkes, LPN
• Graci Wilkins

• Obstetrics & Gynecology Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.