Martin Jerome Wiesenthal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E4763 Issued in TX

Practice address

8038 Wurzbach Rd
Suite 320
San Antonio, TX 78229-3817

Phone

(210) 614-3365

Fax

(210) 615-3757

NPI assigned

Oct 18, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1770664732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8038 WURZBACH RD",
            "address_2": "STE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293813",
            "telephone_number": "210-614-3365",
            "fax_number": "210-615-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8038 WURZBACH RD",
            "address_2": "SUITE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293817",
            "telephone_number": "210-614-3365",
            "fax_number": "210-615-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESENTHAL",
        "first_name": "MARTIN",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E4763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122768806",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00175620",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leighton Arthur Wier, DDS
• Julie Lynn Wiernik, PSY.D.
• Jeremy Nyle Wiersig, MD
• Leigh A. Wiesehan, MS, LPC-A
• Alison Wiesenthal, M.D.
• Michelle Wieters
• Zoey Wieters
• Wifi Medical Doctors
• Katie Christine Wiggins-Dohlvik, MD
• Alexis Nicole Wiggins

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.