Individual provider Active NPI

Christopher Wiegand, MD

  • Specialist
  • Tuscon, AZ
National Provider Identifier
1780767137
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
29187 Issued in AZ
Practice address
6408 E Tanque Verde Rd
Tuscon, AZ 85715
Phone
(520) 885-5558
Fax
(520) 885-5559
NPI assigned
Oct 21, 2006
Last updated
Mar 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 29187 AZ Primary

Addresses

Primary practice location

6408 E Tanque Verde Rd
Tuscon, AZ 85715

Mailing address

6408 E Tanque Verde Rd
Tuscon, AZ 85715
Phone (520) 885-5558

Other identifiers 1

IdentifierTypeStateIssuer
581480MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110414000648 AZ Practitioner - Psychiatry 0840474953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Virginia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aleph Center, P.L.L.C.Group PAC ID 0143209809, 13 clinicians

Practice addresses (Care Compare)

6408 E Tanque Verde Rd
Tucson, AZ 85715-3809
Phone (520) 885-5558

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29187AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Aleph Center, P.L.L.C. Psychiatry CurrentSince Jul 1, 2003 Accepting new patients

Locations

6408 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 885-5558

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1780767137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 E TANQUE VERDE RD",
            "city": "TUSCON",
            "state": "AZ",
            "postal_code": "85715",
            "telephone_number": "520-885-5558",
            "fax_number": "520-885-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 E TANQUE VERDE RD",
            "city": "TUSCON",
            "state": "AZ",
            "postal_code": "85715",
            "telephone_number": "520-885-5558",
            "fax_number": "520-885-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGAND",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "29187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581480",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscon, AZ

Sources for this page

Verify at the official NPI Registry.