DR. LISA MARIE WIELER M.D. NPI 1316011083

NPI Information

NPI: 1316011083
Provider Name: DR. LISA MARIE WIELER, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1100 MONTEREY ST
SUITE 210
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 542-9700
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DR. Lisa Marie Wieler, M.D. is a diagnostic radiology radiology in San Luis Obispo, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Lisa Marie Wieler, M.D. NPI is 1316011083. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1100 MONTEREY ST
SUITE 210
SAN LUIS OBISPO, CA
ZIP 93401-102
Phone: (805) 542-9700
Fax: (805) 542-0584

The NPI 1316011083 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	G46986	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A92694	MEDICARE UPIN	CALIFORNIA
2	CH9716	OTHER	CALIFORNIA	CHAMPUS
3	WG46986F	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
4	P00138584	OTHER	CALIFORNIA	RAILROAD MEDICARE
5	00G19230	MEDICAID	CALIFORNIA
6	G46986	OTHER	CALIFORNIA	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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