Individual provider Active NPI

Wesley Mark Hiser

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
National Provider Identifier
1639598634
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
S0300 Issued in TX
Practice address
3600 Gaston Ave Ste 261
Dallas, TX 75246
Phone
(972) 966-7830
NPI assigned
Apr 8, 2014
Last updated
Aug 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X S0300 TX Primary

Addresses

Primary practice location

3600 Gaston Ave Ste 261
Dallas, TX 75246

Mailing address

3600 Gaston Ave Ste 261
Dallas, TX 75246-1902
Phone (972) 966-7830

Other practice location 1

Vanderbilt University Medical Center
Nashville, TN 37232-1128
Phone (352) 214-7554

Other practice location 2

Vanderbilt University Medical Center
Nashville, TN 37232-1128
Phone (352) 214-7554

Other practice location 3

1329 SW 16th St
Room 230
Gainesville, FL 32608-1128
Phone (352) 265-0680 ext. 85696

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190710000098 TX Practitioner - Pathology 9830317940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Nebraska College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3600 Gaston Ave
Dallas, TX 75246-1800
Phone (972) 966-7830

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pathologists Bio-Medical Laboratories PLLC CurrentSince Jul 1, 2019 Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2019 Accepting new patients
Pathologists Biomedical Laboratories PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

3500 Gaston Ave
Dallas, TX 75246

3600 Gaston Ave
Ste 2
Dallas, TX 75246
Phone (972) 966-7830

3600 Gaston Ave
Ste 261
Dallas, TX 75246
Phone (214) 818-9100

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

7600 Better Way
Frisco, TX 75033
Phone (214) 407-5322

800 8th Ave
Ste 326
Ft Worth, TX 76104
Phone (682) 225-3075

700 Walter Reed Blvd
Ste 209
Garland, TX 75042
Phone (972) 494-3657

1600 W College St
Ste 185
Grapevine, TX 76051
Phone (817) 424-5350

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

1650 W College St
Ste 185
Grapevine, TX 76051
Phone (817) 481-1588

5236 W University Dr
Ste 2800
McKinney, TX 75071
Phone (469) 764-4105

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4708 Alliance Blvd
Ste 870
Plano, TX 75093
Phone (469) 361-2511

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

2460 N Interstate Highway 35 E
Ste 230
Waxahachie, TX 75165
Phone (469) 764-4105

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1639598634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE STE 261",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461902",
            "telephone_number": "972-966-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE STE 261",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75246",
            "telephone_number": "972-966-7830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Vanderbilt University Medical Center",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372321128",
            "country_code": "US",
            "telephone_number": "352-214-7554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Vanderbilt University Medical Center",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372321128",
            "country_code": "US",
            "telephone_number": "352-214-7554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1329 SW 16th St",
            "address_2": "ROOM 230",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326081128",
            "country_code": "US",
            "telephone_number": "352-265-0680 x85696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HISER",
        "first_name": "WESLEY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "S0300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.