David Hamilton Wisner, M.D.

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

G48742 Issued in CA

Practice address

2315 Stockton Blvd
Room 3111 Cypress BLDG.
Sacramento, CA 95817-2201

Phone

(916) 734-8298

Fax

(916) 734-5119

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1386626208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "address_2": "ROOM 3111 CYPRESS BLDG.",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-734-8298",
            "fax_number": "916-734-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "address_2": "ROOM 3111 CYPRESS BLDG.",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-734-8298",
            "fax_number": "916-734-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNER",
        "first_name": "DAVID",
        "middle_name": "HAMILTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "G48742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Denise Wise, RRW
• Laci Wise
• Dorinda Lee Wiseman, LCSW
• Jessica Wiser, M.D.
• Tamar Sara Wishnatzky, ED.D, , M.S., B.S.
• Madeleine Justine Wisner, LM, IBCLC
• Maya Wistos
• Corinne Wiswell
• Ryan L Witham
• Erika Witherow

• Trauma Surgery Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Trauma Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.