DR. WISAM GEORGE D.O. NPI 1790989317

NPI Information

  • NPI: 1790989317
  • Provider Name: DR. WISAM GEORGE, D.O.
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2300 HAGGERTY RD
    SUITE 2100
    WEST BLOOMFIELD, MI
    ZIP 48323
  • Phone: (248) 624-7246

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NPI Details

DR. Wisam George, D.O. is a pain medicine anesthesiology in West Bloomfield, MI with 23 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Wisam George, D.O. NPI is 1790989317. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2003

The provider's business location address is:

2300 HAGGERTY RD
SUITE 2100
WEST BLOOMFIELD, MI
ZIP 48323-184
Phone: (248) 624-7246
Fax: (248) 624-2597

The NPI 1790989317 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.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection, triamcinolone acetonide, preservative free, 1 mg (HCPCS:J3300)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection, fentanyl citrate, 0.1 mg (HCPCS:J3010)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of upper or middle spine facet joint using imaging guidance, second level (HCPCS:64491)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Destruction of nerve branches of knee using imaging guidance (HCPCS:64624)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 6/14/2007 and was last updated on 9/21/2023.

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
1207LP2900XAnesthesiologyPain Medicine5315031019MICHIGANNo
2207LP2900XAnesthesiologyPain MedicineL1130895MICHIGANYes

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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