DR. WILLIAM SAMUEL WISEMAN M.D. NPI 1235296104

NPI Information

NPI: 1235296104
Provider Name: DR. WILLIAM SAMUEL WISEMAN, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
506 RESERVE PL
MOUNT JULIET, TN
ZIP 37122
Phone: (615) 423-5437
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DR. William Samuel Wiseman, M.D. is a general practice in Mount Juliet, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. William Samuel Wiseman, M.D. NPI is 1235296104. 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:

506 RESERVE PL
MOUNT JULIET, TN
ZIP 37122-393
Phone: (615) 423-5437

The enumeration date for this NPI number is 1/2/2007 and was last updated on 1/15/2023.

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		34694	TENNESSEE	No
2	208D00000X	General Practice		34694	TENNESSEE	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	3898547	MEDICAID	TENNESSEE

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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