Jeremy Douglas Wiseman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M9746 Issued in TX

Practice address

2500 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2968

Phone

(512) 345-8970

Fax

(512) 345-6689

NPI assigned

Jun 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Wiseman Family Practice PLLCGroup PAC ID 9739491564, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. David's Healthcare at Home Home health agency, Austin, TX, CCN 679682
• St David's Medical Center Hospital, Austin, TX, CCN 450431

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeremy.wiseman@wiseman.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wiseman Family Practice PLLC

  dba Wiseman Family Practice

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1598195042
  Medicare reassignment Care Compare group NPD
• Wiseman Family Practice Co PLLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1295602183
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Health at Home HHA - Austin, LLC

  dba St. David's Healthcare at Home

  • Home Health Agency
  • Austin, TX
  • NPI 1861069718
  Care Compare affiliation
• St. Davids Healthcare Partnership, L.P., LLP

  dba Heart Hospital of Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1114188497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S LAKELINE BLVD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132968",
            "telephone_number": "512-345-8970",
            "fax_number": "512-345-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S LAKELINE BLVD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132968",
            "telephone_number": "512-345-8970",
            "fax_number": "512-345-6689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Medical Arts St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787053305",
            "country_code": "US",
            "telephone_number": "512-222-1380",
            "fax_number": "512-222-1466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6611 River Place Blvd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787301162",
            "country_code": "US",
            "telephone_number": "512-538-2989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 S Randolph St Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769036425",
            "country_code": "US",
            "telephone_number": "325-617-4583",
            "fax_number": "855-220-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "173 Fm 3237 Ste A",
            "address_purpose": "LOCATION",
            "city": "Wimberley",
            "state": "TX",
            "postal_code": "786765373",
            "country_code": "US",
            "telephone_number": "512-600-2870",
            "fax_number": "855-220-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3010 Bee Cave Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787465526",
            "country_code": "US",
            "telephone_number": "512-600-9898",
            "fax_number": "512-243-8675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "JEREMY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Winsor-Contreras
• Tricia L Winters, PA-C
• Troy Brant Winward, PT
• Wisdom Well Therapy, PLLC
• Wiseman Family Practice PLLC (Wiseman Family Practice)
• Bradley A Wisler, M.D.
• Women's Psychiatry and Well-Being PLLC
• Wondearfully Audacious, LLC (Cook Hearing & Balance)
• Andrew K Wong, MD
• Priscilla Wong, DDS

• Family Medicine Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.