Dr. Jeffrey Grant Wiese, MD
Internal Medicine in New Orleans, LA. Individual provider (NPI-1).
NPI number1720173503
StatusActive
Last updated in NPPESJan 24, 2011
Details
- NPI
- 1720173503
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Grant Wiese
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Jan 24, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HOSPITALIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 13583R | LA | Yes |
Practice location
1415 Tulane AveNew Orleans, LA 70112-2600
Phone 504-988-2300 · Fax 504-988-7691
Mailing address
1430 Tulane AveTw22
New Orleans, LA 70112-2632
Phone 504-988-2300 · Fax 504-988-7691
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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