Individual provider Active NPI

Dolora R Wisco

  • Vascular Neurology Physician
  • Cleveland, OH
National Provider Identifier
1487828984
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
35.099748 Issued in OH
Practice address
Cleveland Clinic Foundation
9500 Euclid Avenue
Cleveland, OH 44195-0001
Phone
(216) 444-1162
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 35.099748 OH Primary

Addresses

Primary practice location

Cleveland Clinic Foundation
9500 Euclid Avenue
Cleveland, OH 44195-0001

Mailing address

9500 Euclid Ave # S80
Cleveland, OH 44195-2292
Phone (216) 442-5639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130808000509 OH Practitioner - Neurology 0648412338 Reassigns benefits to 3 organizations
I20251202003513 FL Practitioner - Neurology 0648412338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

13944 Euclid Ave
East Cleveland, OH 44112-3804
Phone (216) 767-4242

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.099748OHMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Sep 26, 2025 Accepting new patients
Indian River Health Services Inc CurrentSince Sep 8, 2020 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jun 1, 2023 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jun 11, 2013 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jun 1, 2023 Accepting new patients
Indian River Health Services Inc CurrentSince Sep 8, 2020 Accepting new patients

Locations

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1000 36th St
Ste 5105
Vero Beach, FL 32960

9500 Euclid Ave
#S80
Cleveland, OH 44195
Phone (216) 445-1148

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

Interoperability endpoints

  • Direct secure messaging: dwiscomd78008@direct.ccf.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1487828984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # S80",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441952292",
            "telephone_number": "216-442-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLEVELAND CLINIC FOUNDATION",
            "address_2": "9500 EUCLID AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISCO",
        "first_name": "DOLORA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2024-05-09",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "OH",
            "license": "35.099748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.