Merle Dean Wiseman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E1929 Issued in AR

Practice address

715 N College Ave
El Dorado, AR 71730-4403

Phone

(870) 862-7921

Fax

(870) 864-2490

NPI assigned

Jul 27, 2006

Last updated

Dec 6, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• South Arkansas Regional Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Dorado, AR
  • NPI 1467423384
  NPD
• South Arkansas Regional Health Center

  dba Newhaven

  • Primary Care Clinic/Center
  • El Dorado, AR
  • NPI 1518623073
  NPD
• Las Vegas Stat Care Inc.

  • General Practice Physician
  • Las Vegas, NM
  • NPI 1730194499
  NPD (past)
• Lifestyle Medicine LLC

  dba Bradley Kanode MD

  • Internal Medicine Physician
  • Las Vegas, NM
  • NPI 1245429216
  NPD (past)
• Your Health First Medical Clinic, LLC

  • Primary Care Clinic/Center
  • Las Vegas, NM
  • NPI 1881071462
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1386668762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N COLLEGE AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304403",
            "telephone_number": "870-862-7921",
            "fax_number": "870-864-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N COLLEGE AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304403",
            "telephone_number": "870-862-7921",
            "fax_number": "870-864-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "MERLE",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E1929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134911001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanetta Willis
• Willow Path Counseling LLC
• Casey Renee Wilson, APRN
• Emily Nicole Wilson, LPC, LMFT, CRC
• Larkin Monroe Wilson III, DDS
• Henley Lane Wood
• Nikisha Monique Woods
• WPM Community Pharmacies, LLC (Allcare Pharmacy)
• Brandon Wright, QBHP
• Ladonia Wright

• Family Medicine Physician in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.