Individual provider Active NPI

Alan H. Wiseman, MD

  • Cardiovascular Disease Physician
  • Bangor, ME
National Provider Identifier
1629049200
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
015911 Issued in ME
Practice address
1 Northeast Dr
Bangor, ME 04401-4332
Phone
(207) 275-3800
Fax
(207) 275-3836
NPI assigned
Jan 31, 2006
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 015911 ME Primary

Addresses

Primary practice location

1 Northeast Dr
Bangor, ME 04401-4332

Mailing address

43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006
Phone (207) 973-5035

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awiseman@direct.emhs.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420001264 ME Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3779579461 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
McGill University, Faculty of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians
Charles a Dean Memorial HospitalGroup PAC ID 1557279031, 24 clinicians
Acadia Hospital Corp.Group PAC ID 7719878495, 88 clinicians

Practice addresses (Care Compare)

1 Northeast Dr
Northern Light Cardiology
Bangor, ME 04401-4332
Phone (207) 275-3800

22 Haley CT
Sangerville, ME 04479-3000
Phone (207) 876-4811

234 State St
Brewer, ME 04412-1519
Phone (207) 989-0550

268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100

302 Husson Ave
Bangor, ME 04401-3374
Phone (207) 947-6141

417 State St
Bangor, ME 04401-6630

417 State St
Bangor, ME 04401-6639

417 State St
Suite 20
Bangor, ME 04401-6637
Phone (207) 275-1500

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

5721 Cutler Health Ctr
Orono, ME 04469-5721
Phone (207) 581-4000

7 Main Rd N
Northern Light Primary
Hampden, ME 04444-1334
Phone (207) 862-9400

885 Union St
Suite 145
Bangor, ME 04401-3073
Phone (207) 973-9595

895 Union St
Suite 12
Bangor, ME 04401-3054
Phone (207) 973-7979

925 Union St
Bangor, ME 04401-3051

PO Box
Suite 1129
Greenville, ME 04441-1129

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.48 of 100Reported as group
Quality
71.71
Promoting interoperability
100
Improvement activities
40
Cost
69.07

Merit-based Incentive Payment System (MIPS)

Final score
88.7 of 100Reported as group
Quality
74.14
Promoting interoperability
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015911MEMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Blue Hill Memorial Hospital CurrentSince Aug 1, 2018 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince Aug 1, 2018 Accepting new patients
Penobscot Valley Hospital CurrentSince Nov 24, 2020 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Aug 15, 2015 Accepting new patients
Acadia Hospital Corp CurrentSince Dec 8, 2020 Accepting new patients
Sebasticook Valley Health CurrentSince Aug 1, 2018 Accepting new patients
Sebasticook Valley Health CurrentSince Aug 1, 2018 Accepting new patients
MRH Corp. CurrentSince Feb 20, 2023 Accepting new patients
MRH Corp. CurrentSince Feb 20, 2023 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Aug 1, 2018 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Aug 15, 2015 Accepting new patients
Penobscot Valley Hospital CurrentSince Nov 24, 2020 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Aug 1, 2018 Accepting new patients
Eastern Maine Medical Center CurrentSince Jul 10, 2002 Accepting new patients
Eastern Maine Medical Center CurrentSince Jul 10, 2002 Accepting new patients
Vna Home Health & Hospice Cardiovascular Disease Past Accepting new patients
Northeast Cardiology Associates Cardiovascular Disease Past Accepting new patients
MRH Corp. Past Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

489 State St
Bangor, ME 04401
Phone (207) 973-8837

489 State St
Ste A
Bangor, ME 04401

600 Main St
Bldg 11
Bar Harbor, ME 04609
Phone (207) 288-1600

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

43 Whiting Hill Rd
Ste 300
Brewer, ME 04412
Phone (207) 973-5000

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

7 Transalpine Rd
Lincoln Ctr, ME 04457
Phone (207) 794-3321

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1629049200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WHITING HILL RD STE 300",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121006",
            "telephone_number": "207-973-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTHEAST DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014332",
            "telephone_number": "207-275-3800",
            "fax_number": "207-275-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "ALAN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "015911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awiseman@direct.emhs.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1 Northeast Dr",
            "city": "Bangor",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044014332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.