NPIMap

Organization Active NPI

Wisecare, LLC

Doing business as WiseCare Express Urgent Care Center

  • Urgent Care Clinic/Center
  • Pasadena, MD
National Provider Identifier
1053728634
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
WISECARE, LLC
Doing business as
WiseCare Express Urgent Care Center
Practice address
33 Magothy Beach Rd
Suite 102-103
Pasadena, MD 21122
Phone
(410) 255-7900
Fax
(410) 255-7300
NPI assigned
Jul 16, 2014
Last updated
Jun 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Authorized official

Name
Perry R Weisman, MDNPI 1518932268
Title
Owner/MD
Phone
(267) 252-7220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

33 Magothy Beach Rd
Suite 102-103
Pasadena, MD 21122

Mailing address

33 Magothy Beach Rd
Suite 102-103
Pasadena, MD 21122-4413
Phone (410) 255-7900

Other names 1

  • WiseCare Express Urgent Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141016000740 MD Part B Supplier - Clinic/Group Practice 9638390651 Receives reassigned benefits from 25 practitioners
1 other NPI on this enrollment
Practice locations: Pasadena, MD; Millersville, MD; Severna Park, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2090937Wisecare Urgent Care33 Magothy Beach Road, Pasadena, MD 21122Certificate of waiverFeb 2, 2027

National Provider Directory

National Provider Directory

Locations

672 Old Mill Rd
Ste 0
Millersville, MD 21108

33 Magothy Beach Rd
Pasadena, MD 21122

33 Magothy Beach Rd
#102103
Pasadena, MD 21122

485 Ritchie Hwy
Ste 102
Severna Park, MD 21146
Phone 4102557900 ext. 1001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13394/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1053728634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MAGOTHY BEACH RD",
            "address_2": "SUITE 102-103",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224413",
            "telephone_number": "410-255-7900",
            "fax_number": "410-255-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAGOTHY BEACH RD",
            "address_2": "SUITE 102-103",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "21122",
            "telephone_number": "410-255-7900",
            "fax_number": "410-255-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "WEISMAN",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "267-252-7220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WiseCare Express Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.