DR. CRAIG BURTON WISMAN M.D. NPI 1689973703

NPI Information

  • NPI: 1689973703
  • Provider Name: DR. CRAIG BURTON WISMAN, M.D.
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • Address: 1024 MOUNT ALEM DR
    HUMMELSTOWN, PA
    ZIP 17036
  • Phone: (717) 756-6781

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NPI Details

DR. Craig Burton Wisman, M.D. is a thoracic surgery cardiothoracic vascular surgery in Hummelstown, PA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Craig Burton Wisman, M.D. NPI is 1689973703. 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:

1024 MOUNT ALEM DR
HUMMELSTOWN, PA
ZIP 17036-900
Phone: (717) 756-6781
Fax: (717) 566-1820

The enumeration date for this NPI number is 3/16/2011 and was last updated on 3/16/2011.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)MD 023770 EPENNSYLVANIAYes

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
10911578MEDICAIDPENNSYLVANIA
2WI140089MEDICARE PIN
3B38998MEDICARE 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: 3/30/2025

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