Active NPI
Dolora R Wisco
- Vascular Neurology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 35.099748
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Hillcrest Hospital
- Akron General Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.099748 | OH | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | 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
- 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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Neurology Physician
- Vero Beach, FL
- NPI 1104378363
-
- Urgent Care Clinic/Center
- Stuart, FL
- NPI 1154962918
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.