DR. MICHAEL C WISMER MD NPI 1265960702

NPI Information

  • NPI: 1265960702
  • Provider Name: DR. MICHAEL C WISMER, MD
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16792 CONNEAUT LAKE RD
    MEADVILLE, PA
    ZIP 16335
  • Phone: (814) 373-2335

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NPI Details

DR. Michael C Wismer, MD is a hematology and oncology internal medicine in Meadville, PA with 8 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Michael C Wismer, MD NPI is 1265960702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

16792 CONNEAUT LAKE RD
MEADVILLE, PA
ZIP 16335-748
Phone: (814) 373-2335
Fax: (814) 373-2338

The NPI 1265960702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2017 and was last updated on 1/16/2025.

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
1207R00000XInternal Medicine271196MASSACHUSETTSNo
2207RH0003XInternal MedicineHematology & OncologyMD482335PENNSYLVANIAYes

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: 3/30/2025

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