Active NPI
Allison M Wyman, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- ME115925
- Practice address
- 2919 W Swann Ave Ste 404
Tampa, FL 33609-4052 - Phone
- (813) 773-0579
- Fax
- (941) 253-3401
- NPI assigned
- Apr 30, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | ME115925 | FL | Primary |
Addresses
Primary practice location
2919 W Swann Ave Ste 404
Tampa, FL 33609-4052
Mailing address
2410 Northside Dr
Clearwater, FL 33761-2236
Phone (727) 499-0351
Other practice location 1
5460 63rd St E
Bradenton, FL 34203-7808
Phone (813) 773-0579
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XBO63 | Other | FL | BLUE CROSS BLUE SHIELD |
| 017766300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Toledo College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641
Hospital & facility affiliations
- HCA Florida South Tampa Hospital
- Lakewood Ranch Medical Center
- Sarasota Memorial Hospital
- St Josephs Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME115925 | FL | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Current | Accepting new patients | |
| Florida Surgical Specialists | Urogynecology and Reconstructive Pelvic Surgery | Current | Accepting new patients |
| Allison Wyman MD LLC | Urogynecology and Reconstructive Pelvic Surgery | Current | Accepting new patients |
| University Medical Service Association Inc | Past | Accepting new patients |
Locations
5460 63rd St E
Unit B
Bradenton, FL 34203
Phone (941) 202-2305
5460 63rd St E
Bradenton, FL 34203
Phone (813) 773-0579
607 Manatee Ave E
Ste 102
Bradenton, FL 34208
Phone (941) 216-3602
2410 Northside Dr
Clearwater, FL 33761
Phone (727) 499-0358
6310 Health Park Way
Ste 110A
Lakewood Ranch, FL 34202
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
6600 University Pkwy
Ste 305
Sarasota, FL 34240
Phone (941) 241-0161
2919 W Swann Ave
Ste 404
Tampa, FL 33609
Phone (813) 773-0579
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHDBDA
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Tampa, FL
- NPI 1629780143
-
- Surgery Physician
- Bradenton, FL
- NPI 1891184149
Urogynecology and Reconstructive Pelvic Surgery
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1730179714
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
dba HCA Florida South Tampa Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1871935072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1598909889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 NORTHSIDE DR",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612236",
"telephone_number": "727-499-0351",
"fax_number": "727-781-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 W SWANN AVE STE 404",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094052",
"telephone_number": "813-773-0579",
"fax_number": "941-253-3401"
}
],
"practiceLocations": [
{
"address_1": "5460 63rd St E",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342037808",
"country_code": "US",
"telephone_number": "813-773-0579",
"fax_number": "941-253-3401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYMAN",
"first_name": "ALLISON",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-30",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "FL",
"license": "ME115925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "XBO63",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017766300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.