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James Frederick Wiedenhoefer

  • Male

Medical Specialty

Professional ID

  • NPI: 1144209743
  • PECOS ID: 2567770258
  • Enrollment ID: I20150929002976
  • Credential(MD, DO, DPM):
  • Medical School: University Of Louisville School Of Medicine
  • Medical School Graduation Year: 1998

Hospital Service

  • Hospital CCN1: 450211
  • Business Name (LBN)1: Memorial Medical Center Of East Texas
  • Hospital CCN2: 450643
  • Business Name (LBN)2: Doctors Hospital Of Laredo

Medical Practices

  • Organization Name: South Texas Radiology Imaging Centers
  • Group Practice ID assigned by PECOS: 0547153512
  • Number of Group Practice member: 81

Location

  • Address1: 4383 Medical Dr
  • Address2: Suite 150
  • City: San Antonio
  • State: Texas
  • Zip Code: 78229
  • Phone Number: (210)614-4051

Medical Practices

  • Organization Name: Angelina Diagnostic Radiology Associates Pa
  • Group Practice ID assigned by PECOS: 1850380890
  • Number of Group Practice member: 6

Location

  • Address1: 1201 W Frank Ave
  • Address2: Memorial Specialty Hospital
  • City: Lufkin
  • State: Texas
  • Zip Code: 75904
  • Phone Number: (936)639-7975

Medical Practices

  • Organization Name: South Texas Radiology Group Pa
  • Group Practice ID assigned by PECOS: 2567365083
  • Number of Group Practice member: 87

Location

  • Address1: 7700 Floyd Curl Dr
  • Address2:
  • City: San Antonio
  • State: Texas
  • Zip Code: 78229
  • Phone Number: (210)575-4343

Medical Practices

  • Organization Name: National Radiology Consultants Of Texas Llc
  • Group Practice ID assigned by PECOS: 7719255041
  • Number of Group Practice member: 11

Location

  • Address1: 10700 Mcpherson Rd
  • Address2:
  • City: Laredo
  • State: Texas
  • Zip Code: 78045
  • Phone Number: (813)920-5200

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):