NPIMap

Organization Active NPI

Wisecare Primary Care

  • Internal Medicine Physician
  • Severna Park, MD
National Provider Identifier
1164934881
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0067662 Issued in MD
Legal business name
WISECARE PRIMARY CARE
Doing business as
WiseCare Primary Care
Practice address
485 Ritchie Hwy Ste 102
Severna Park, MD 21146-2918
Phone
(410) 255-7900
Fax
(410) 255-7300
NPI assigned
Nov 3, 2017
Last updated
Nov 3, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
WISECARE PRIMARY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Dr. Perry Weisman, MDNPI 1518932268
Title
Owner
Phone
(410) 255-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0067662 MD Primary

Addresses

Primary practice location

485 Ritchie Hwy Ste 102
Severna Park, MD 21146-2918

Mailing address

33 Magothy Beach Rd Ste 102
Pasadena, MD 21122-4465
Phone (410) 255-7900

Other names 1

  • WiseCare Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wisecare Primary Care2 organizations share this tax ID, including this one
Part of
Wisecare Primary Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1164934881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MAGOTHY BEACH RD STE 102",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224465",
            "telephone_number": "410-255-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 RITCHIE HWY STE 102",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462918",
            "telephone_number": "410-255-7900",
            "fax_number": "410-255-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISECARE PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WISECARE PRIMARY CARE",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "WEISMAN",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-255-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0067662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WiseCare Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.