DR. LEE ROY WIEDERHOLD MD PHD NPI 1134323736

NPI Information

  • NPI: 1134323736
  • Provider Name: DR. LEE ROY WIEDERHOLD, MD, PHD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 301 UNIVERSITY BLVD
    GALVESTON, TX
    ZIP 77555
  • Phone: (409) 772-2531

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NPI Details

DR. Lee Roy Wiederhold, MD, PHD is a radiation oncology radiology in Galveston, TX with 21 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Lee Roy Wiederhold, MD, PHD NPI is 1134323736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:2005

The provider's business location address is:

301 UNIVERSITY BLVD
GALVESTON, TX
ZIP 77555-462
Phone: (409) 772-2531
Fax: (409) 772-1814

The NPI 1134323736 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • Complex radiation therapy planning (HCPCS:77263)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Special radiation treatment (HCPCS:77470)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • High precision radiation therapy planning (HCPCS:77301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Obtaining respiratory data needed to develop the optimal radiation treatment (HCPCS:77293)
  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Management of cranial lesion surgery using radiation over multiple sessions (HCPCS:77435)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • 3d radiation therapy planning (HCPCS:77295)
  • Complex radiation therapy planning for delivery of external radiation (HCPCS:77307)

The enumeration date for this NPI number is 6/14/2007 and was last updated on 1/29/2019.

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
12085R0001XRadiologyRadiation OncologyM5976TEXASYes

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
13847415682OTHERMYUTMB 3847415682-COMMERCIAL NUMBER
2213444703OTHERTEXASMEDICAID CSHCN
3213444702MEDICAIDTEXAS

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: 11/21/2025

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