John Henry Wisner Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

04-17397 Issued in KS

Practice address

6522 Hedge Lane Ter
#201
Shawnee, KS 66226-4872

Phone

(913) 972-5730

NPI assigned

Aug 30, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1043329949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6522 HEDGE LANE TER",
            "address_2": "#201",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662264872",
            "telephone_number": "913-972-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6522 HEDGE LANE TER",
            "address_2": "#201",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662264872",
            "telephone_number": "913-972-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNER",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-17397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205162605",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100372770A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "27574013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerrie Winkler, LBSW & LAC
• Allison Dawn Winters, M.ED.CCC-SLP
• Christine M Wise
• Kailyn Wise
• Russell Conwell Wismer, DDS
• Jessica Withhart, DDS
• Julie Wolfe, PHARMD
• Women' S and Family Care Dba GTC Research
• Women'S Health Specialists, P.a.
• Alexus Woodard

• Psychiatry Physician in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.