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JEFFREY WISHIK MD NPI 1376718718


NPI Information

NPI: 1376718718
Provider Name: JEFFREY WISHIK MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1 RANDALL SQ
SUITE 409
PROVIDENCE, RI
ZIP 02904
Phone: (401) 274-5150
Get Directions

JEFFREY WISHIK MD is a neurology psychiatry neurology in Providence, RI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. JEFFREY WISHIK MD NPI is 1376718718. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1 RANDALL SQ
SUITE 409
PROVIDENCE, RI
ZIP 02904-709
Phone: (401) 274-5150

The provider's authorized official is Jeffrey M Wishik .
The authorized official title is Owner and has the following contact phone number (401) 274-5150.

The enumeration date for this NPI number is 4/28/2008 and was last updated on 3/30/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyMD07160RHODE ISLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
126335OTHERRHODE ISLANDRI BCBS
2200984OTHERRHODE ISLANDBLUECHIP

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.