Individual provider Active NPI

George Wiswesser, MD

  • Psychiatry Physician
  • Orwigsburg, PA
National Provider Identifier
1508803347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD009624E Issued in PA
Practice address
340 S Liberty St
Orwigsburg, PA 17961-2127
Phone
(570) 366-5096
Fax
(570) 366-8755
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD009624E PA Primary

Addresses

Primary practice location

340 S Liberty St
Orwigsburg, PA 17961-2127

Mailing address

500 Office Center Dr
Suite 100
Ft Washington, PA 19034-3219
Phone (215) 540-2150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Counseling Center, Inc. PastSince Apr 6, 2016 Accepting new patients
Family Care for Children & Youth, Inc. Past Accepting new patients
Truenorth Wellness Services Past Accepting new patients
Philhaven Past Accepting new patients
Access Services Inc Past Accepting new patients
Berks Counseling Center, Inc. PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508803347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OFFICE CENTER DR",
            "address_2": "SUITE 100",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190343219",
            "telephone_number": "215-540-2150",
            "fax_number": "215-540-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S LIBERTY ST",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179612127",
            "telephone_number": "570-366-5096",
            "fax_number": "570-366-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISWESSER",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD009624E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orwigsburg, PA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.