Martin Wiesenfeld, M.D., F.A.C.P.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

20679 Issued in IA

Practice address

701 10TH St SE
HPCC 3Rd Floor
Cedar Rapids, IA 52403-1251

Phone

(319) 363-8303

Fax

(319) 364-4659

NPI assigned

Dec 14, 2005

Last updated

Apr 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Iowa Cancer Care, PLC

  dba Oncology Associates

  • Medical Oncology Physician
  • Cedar Rapids, IA
  • NPI 1356390116

  Hematology & Oncology

  NPD (past)
• Mercy Medical Center

  dba Hall Perrine Cancer Center Pharmacy

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
  • NPI 1114923513
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1740265404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "address_2": "HPCC 3RD FLOOR",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-363-8303",
            "fax_number": "319-364-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "address_2": "HPCC 3RD FLOOR",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-363-8303",
            "fax_number": "319-364-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESENFELD",
        "first_name": "MARTIN",
        "credential": "M.D., F.A.C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IA",
            "license": "20679",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IA",
            "license": "20679",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110045771",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163055",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "16305",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anton Jared Wiebel, PA
• Victoria Marie Wieben, LMSW
• Michelle Lynn Wiegand-Bigger, DNP, ARNP, FNP-C
• Tasha N Wiele, L.M.S.W.
• Michelle Wiersig, LMSW
• Debra J Wiethorn, LMSW
• Mark Wiezorek, MSAT, TLMHC
• Susan Diane Wilbanks, RPH
• Deborah W Wilbur, M.D.
• Adam Wilcox, PHARMD

• Medical Oncology Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Medical Oncology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.