Emad F Wissa MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

33025 Issued in AZ

Legal business name

EMAD F WISSA MD PC

Practice address

5555 W Thunderbird Rd
Glendale, AZ 85306-4622

Phone

(480) 487-0073

NPI assigned

Sep 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Emad F Wissa, M.D.NPI 1356307375

Title

President

Phone

(480) 487-0073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emad F Wissa, MD

  • Pulmonary Disease Physician
  • Glendale, AZ
  • NPI 1356307375
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1083016000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10632 N SCOTTSDALE RD",
            "address_2": "B-225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546164",
            "telephone_number": "480-607-6825",
            "fax_number": "480-607-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064622",
            "telephone_number": "480-487-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMAD F WISSA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "WISSA",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-487-0073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "33025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taegan Elmer, LPC, MC
• Cindy Elms, RD
• David J Elsasser, PT
• Ciara Ely, RN
• William David Elza, DMD
• Embrace Orthodontics, LLC
• Embracing Change Counseling Services, LLC
• Emergency & Acute Care Medical Company - Az
• Emergency Chiropractic, P.C.
• Emergency Group of Arizona Professional Corporation

• Specialist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.