MR. PAUL PENCE WISMAN M.D. NPI 1235115650

NPI Information

NPI: 1235115650
Provider Name: MR. PAUL PENCE WISMAN, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA
ZIP 22902
Phone: (434) 296-9161
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MR. Paul Pence Wisman, M.D. is a pediatrics in Charlottesville, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MR. Paul Pence Wisman, M.D. NPI is 1235115650. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1011 E JEFFERSON ST
CHARLOTTESVILLE, VA
ZIP 22902-354
Phone: (434) 296-9161
Fax: (434) 296-1036

The enumeration date for this NPI number is 12/17/2005 and was last updated on 9/29/2012.

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
1	208000000X	Pediatrics		0101049022	VIRGINIA	Yes

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
1	12211500001	OTHER	VIRGINIA	SOUTHERN HEALTH
2	333848	OTHER	VIRGINIA	ANTHEM
3	006725856	MEDICAID	VIRGINIA
4	42728	OTHER	VIRGINIA	VETRI
5	010724	OTHER	VIRGINIA	CIGNA
6	267258	OTHER	VIRGINIA	MAMSI/ALLIANCE

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: 5/5/2024

NPI Synchronization or Removal

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