Troy D Wiseman

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

12A Idella LN
Conway, AR 72032-9587

Phone

(501) 697-7036

NPI assigned

Nov 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wisemans Elite Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Conway, AR
  • NPI 1134853757
  NPD Authorized official

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1316603905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12A IDELLA LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720329587",
            "telephone_number": "501-697-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12A IDELLA LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720329587",
            "telephone_number": "501-697-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "TROY",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "AR",
            "license": "927290469",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-2206707",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wisemanelite@yahoo.com",
            "affiliation": "N",
            "address_1": "12A Idella Ln",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720329587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor J Wilson
• Deborah S Wingfield, APN
• Kiara Winkler
• John Wirges
• Brandi Wiseman
• Wisemans Elite Transportation, LLC
• Wisemind Counseling & Wellness LLC
• Van Witherspoon, MHPP
• Amy Wittenburg, M.S., CCC-SLP
• Jashaunna Wofford, RECOVERY ASSISTANT

• Non-emergency Medical Transport (VAN) in Conway, AR
• Providers in Conway, AR by specialty
• Non-emergency Medical Transport (VAN) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.