Thomas C. Wisler, Sr., M.D., LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01029384A Issued in IN

Legal business name

THOMAS C. WISLER, SR., M.D., LLC

Practice address

7830 McFarland LN
Ste. B
Indianapolis, IN 46237-4705

Phone

(317) 889-6551

Fax

(317) 422-8430

NPI assigned

Mar 26, 2008

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda K Critser, CREDENTIALING SPECIA

Title

Credentialing Specialist

Phone

(317) 422-5490

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1558533935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 MCFARLAND LN",
            "address_2": "STE. B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462374705",
            "telephone_number": "317-889-6551",
            "fax_number": "317-422-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 MCFARLAND LN",
            "address_2": "STE. B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462374705",
            "telephone_number": "317-889-6551",
            "fax_number": "317-422-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C. WISLER, SR., M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "CRITSER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "317-422-5490",
        "authorized_official_credential": "CREDENTIALING SPECIA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01029384A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100064260A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1104816271",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIVIDUAL",
            "identifier": "559581",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP",
            "identifier": "559579",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.