Steven Ray Wiseman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18226 Issued in OK

Practice address

1435 S Utica Ave
Tulsa, OK 74104-4649

Phone

(918) 392-4900

NPI assigned

Aug 30, 2006

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

Enrolled in OK

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: steven.wiseman@direct.stjohnhealthsystem.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.

• Tulsa Health Group, PLC

  • Family Medicine Physician
  • Sapulpa, OK
  • NPI 1407977366

  Internal Medicine

  NPD (past) Authorized official
• Tulsa Rheumatology Clinic LLC

  • Rheumatology Physician
  • Tulsa, OK
  • NPI 1437802998
  NPD
• St John Medical Center Inc

  • Psychiatric Hospital Unit
  • Tulsa, OK
  • NPI 1144306382
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427168426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108809",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018809",
            "telephone_number": "918-299-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044649",
            "telephone_number": "918-392-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "STEVEN",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089420C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larysa Leshell Wise, APRN-CNP
• Michelle Lee Wise
• Robert Lance Wise, D.C.
• Taylor Wise
• Diane Cassody Wiseman
• Cayce Lynn Wisniewski
• Haleigh Brooke Wisotsky, APRN, FNP-C
• Jessie M Wissman
• Michael Witham
• Leslie Rae Witherspoon

• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.