DR. MERRELL THAMES WISEMAN M.D. NPI 1528175882

NPI Information

NPI: 1528175882
Provider Name: DR. MERRELL THAMES WISEMAN, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4800 SAND POINT WAY NE
SEATTLE, WA
ZIP 98105
Phone: (206) 987-2000
Get Directions

DR. Merrell Thames Wiseman, M.D. is a pediatrics in Seattle, WA. 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. DR. Merrell Thames Wiseman, M.D. NPI is 1528175882. 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:

4800 SAND POINT WAY NE
SEATTLE, WA
ZIP 98105-901
Phone: (206) 987-2000

The NPI 1528175882 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 8/24/2006 and was last updated on 8/10/2009.

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		MD00025137	WASHINGTON	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	E46088	MEDICARE UPIN	WASHINGTON
2	G8880842	MEDICARE PIN	WASHINGTON
3	G000135758	MEDICARE PIN	WASHINGTON
4	WI7556	OTHER	WASHINGTON	BLUE SHIELD VM
5	0135758	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
6	US4590191	OTHER	WASHINGTON	AETNA SPECIALIST PIN
7	8108789	MEDICAID	WASHINGTON

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: 4/28/2024

NPI Synchronization or Removal

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