Leah Wiser, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601002257 Issued in MI

Practice address

1903 W Michigan Ave
Sindecuse Health Center, Western Michigan University
Kalamazoo, MI 49008-5200

Phone

(269) 387-3287

Fax

(269) 387-2944

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1003994096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085200",
            "telephone_number": "269-387-3290",
            "fax_number": "269-387-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 W MICHIGAN AVE",
            "address_2": "SINDECUSE HEALTH CENTER, WESTERN MICHIGAN UNIVERSITY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085200",
            "telephone_number": "269-387-3287",
            "fax_number": "269-387-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISER",
        "first_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0853911050",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0C94735",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer A. Winters, M.D.
• Olivia Wirth
• Sarah Ann-McConnell Wirth, BA, BS
• Loren M Wise, MD
• Shirley Marcel Wise, MSW, LMSW, CSW
• Wishing Well Home Care LLC
• Joy Marie Wisser, PAC
• Jeffrey F Withers, R.PH.
• Shayanna Withers
• Veronica Witherspoon

• Medical Physician Assistant in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.