Jeremy Theisen, MD

Diagnostic radiologist in Edinburg, Texas · NPI 1881954501

Jeremy Theisen is one of 58 diagnostic radiologists practicing in Edinburg, Texas. Jeremy Theisen practices with Renaissance Medical Foundation.

Registry record (NPPES)

NPI
1881954501
Type
Type 1 · Individual
Primary taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Address on file
1900 N 14th St
Ponca City, OK 74601-2035
(580) 765-0575
Enumerated
May 29, 2012
Record last updated
Sep 23, 2025
License states listed
HI, NJ, OK

Medicare (CMS)

Enrollment
Medicare-enrolled in AR, CA, HI, IL, MS, NJ, NV, OK, PA, TX
Diagnostic Radiology
Revalidation due
No date set by CMS

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Practice locations

More diagnostic radiologists in Edinburg

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.