W. ROBERT WISMAN MD PC NPI 1316258791

NPI Information

  • NPI: 1316258791
  • Provider Name: W. ROBERT WISMAN MD PC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 1506 FRANKLIN RD SW
    ROANOKE, VA
    ZIP 24016
  • Phone: (540) 345-8124

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NPI Details

W. ROBERT WISMAN MD PC is a medical specialty clinic center in Roanoke, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). W. ROBERT WISMAN MD PC NPI is 1316258791. The provider is registered as an organization entity type.

The provider's business location address is:

1506 FRANKLIN RD SW
ROANOKE, VA
ZIP 24016-207
Phone: (540) 345-8124
Fax: (540) 345-3423

The provider's authorized official is W Robert Wisman .
The authorized official title is Physician and has the following contact phone number (540) 345-8124.

The enumeration date for this NPI number is 6/30/2010 and was last updated on 7/9/2010.

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
1261QM2500XClinic/CenterMedical Specialty0101014128VIRGINIAYes

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
1006228623MEDICAIDVIRGINIA
2162896851MEDICARE PIN
3B05651MEDICARE UPIN

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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