Thomas Wisenbaugh, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

12589 Issued in HI

Practice address

1 Jarrett White Rd
Tripler Army Medical Center Cardiology Section
Tripler AMC, HI 96859-5001

Phone

(808) 433-1225

NPI assigned

Nov 7, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cardiology of Tulsa Inc. Dba Cardiology Diagnostics of Tulsa

  • Cardiovascular Disease Physician
  • Tulsa, OK
  • NPI 1255528956
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309564800000",
    "number": "1528049533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 OLD MOKAPU RD",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER CARDIOLOGY SECTION",
            "city": "TRIPLER AMC",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISENBAUGH",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2011-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "HI",
            "license": "12589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Jane Wilhelm
• Lashon Sherema Williams, PMHNP-BC
• Nicholas Dale Wilson, DDS
• Taneshia Michelle Wilson
• Kim M Wischman, MD
• Laura Lee Woods, LISW
• Peter Bulkley Woollett, MD
• Stephen Charles Wuertz, CRNA
• Timothy Wulfestieg, DO
• Shelbi Lynn Wuss

• Interventional Cardiology Physician in Tripler AMC, HI
• Providers in Tripler AMC, HI by specialty
• Interventional Cardiology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2011; 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.