Active NPI
Alan Wiser, MD
- Family Medicine Physician
- Plymouth Meeting, PA
National Provider Identifier
1619917002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD019617E
- Practice address
- 4070 Butler Pike
Suite 200
Plymouth Meeting, PA 19462-1556 - Phone
- (610) 825-5741
- Fax
- (610) 825-1855
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD019617E | PA | Primary |
Addresses
Primary practice location
4070 Butler Pike
Suite 200
Plymouth Meeting, PA 19462-1556
Mailing address
4070 Butler Pike
Suite 200
Plymouth Meeting, PA 19462-1556
Phone (610) 825-5741
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0047237000 | Other | PA | IBC - PC/KHPE |
| 104841 | Other | PA | HIGHMARK BLUE SHIELD |
| 36452-MD019617E | Other | PA | HEALTH PARTNERS |
| 0047237000 | Other | PA | AMERIHEALTH/INTERCOUNTY |
| 080128475 | Other | PA | RRM |
| 1193395 | Other | PA | CIGNA HMO/PPO |
| 11046883 | Other | PA | MULTIPLAN |
| 4101143 | Other | PA | AETNA PPO |
| P518644 | Other | PA | OXFORD |
| 0075840102 | Other | PA | AMERIHEALTH (UHC MA PLAN) |
| 2124766 | Other | PA | ALLIANCE/OPT CHC (MAMSI) |
| 0002469 | Other | PA | AETNA HMO |
| 1027898 | Other | PA | KEYSTONE MERCY |
| 10938918 | Other | PA | CAQH ID# |
| 0007584010001 | Medicaid | PA | |
| 350984 | Other | PA | PHCS |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fornance Physician Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Plymouth Meeting, PA
- NPI 1699459388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1619917002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4070 BUTLER PIKE",
"address_2": "SUITE 200",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621556",
"telephone_number": "610-825-5741",
"fax_number": "610-825-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4070 BUTLER PIKE",
"address_2": "SUITE 200",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621556",
"telephone_number": "610-825-5741",
"fax_number": "610-825-1855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISER",
"first_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD019617E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC - PC/KHPE",
"identifier": "0047237000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "104841",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "36452-MD019617E",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/INTERCOUNTY",
"identifier": "0047237000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM",
"identifier": "080128475",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO/PPO",
"identifier": "1193395",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "11046883",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4101143",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P518644",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH (UHC MA PLAN)",
"identifier": "0075840102",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE/OPT CHC (MAMSI)",
"identifier": "2124766",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0002469",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1027898",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID#",
"identifier": "10938918",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007584010001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "350984",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.