Ian Richard Wisecarver, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

219197 Issued in AK

Practice address

4251 Hohe St
Homer, AK 99603-7010

Phone

(907) 226-5600

NPI assigned

May 3, 2018

Sex

Male

Sole proprietor

Yes

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

Enrolled in AK

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iwisecarver1055938@direct.sw.org
• FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
• Direct secure messaging: ian.wisecarver.1@14977.direct.athenahealth.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.

• South Peninsula Hospital, Inc

  • Critical Access Hospital
  • Homer, AK
  • NPI 1093968372
  Medicare reassignment NPD
• South Peninsula Hospital, Inc.

  • Critical Access Hospital
  • Homer, AK
  • NPI 1679566269
  Medicare reassignment NPD
• South Peninsula Hospital, Inc

  • Home Health Agency
  • Homer, AK
  • NPI 1164400750
  NPD

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1437648698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 HOHE ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037010",
            "telephone_number": "907-226-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISECARVER",
        "first_name": "IAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2025-01-07",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AK",
            "license": "219197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Jeanne Williams, ANP, NP-C
• Darren Daniel Williams
• Jak Wilmot
• Marin Wilson
• Susanne Ratcliffe Wilson, MFT
• Shaylee Woods, MS, CCC-SLP
• Janie Worley
• Alahni Wright
• Megan R Wright, LPC
• Jun Yamamoto, M.D., PH. D

• Plastic Surgery Physician in Homer, AK
• Providers in Homer, AK by specialty
• Plastic Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.