DOUGLAS G WYSHAM MD NPI 1275526360

NPI Information

  • NPI: 1275526360
  • Provider Name: DOUGLAS G WYSHAM, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 700 NE 87TH AVE
    VANCOUVER, WA
    ZIP 98664
  • Phone: (360) 882-3662

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NPI Details

Douglas G Wysham, MD is an interventional cardiology internal medicine in Vancouver, WA. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Douglas G Wysham, MD NPI is 1275526360. 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:

700 NE 87TH AVE
VANCOUVER, WA
ZIP 98664-913
Phone: (360) 882-3662

The NPI 1275526360 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel (HCPCS:93571)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS:93460)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 8/24/2005 and was last updated on 11/7/2016.

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
1207RC0000XInternal MedicineCardiovascular DiseaseMD00029442WASHINGTONNo
2207RI0011XInternal MedicineInterventional CardiologyMD00029442WASHINGTONYes

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
1G8946076MEDICARE PINWASHINGTON
2D81507MEDICARE UPIN
38135832MEDICAIDWASHINGTON

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: 11/21/2025

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