Complete Physician Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OA004049 Issued in PA

Legal business name

COMPLETE PHYSICIAN SERVICES

Practice address

1216 E Hunting Park Ave # 1
Philadelphia, PA 19124-4928

Phone

(215) 533-1333

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth WisemanNPI 1427083849

Title

Physician

Phone

(215) 533-1333

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Wiseman, DO

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1427083849
  NPD (past) Authorized official
• Charles Michael Snover Jr., PA-C

  • Medical Physician Assistant
  • Philadelphia, PA
  • NPI 1598292963
  NPD (past)

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1649717364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 E HUNTING PARK AVE # 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 E HUNTING PARK AVE # 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244928",
            "telephone_number": "215-533-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-533-1333",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OA004049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Care Coordination Agency
• Complete Care Family Dentistry, LLC
• Complete Care Prosthetics and Orthotics LLC
• Complete Foot & Ankle L.L.C.
• Complete Home Care Services LLC
• Complete Physician Services
• Complete Wellness Physical Therapy LLC
• Complete Wellness Rehabilitation, LLC
• Complimentary Health Inc
• Comprehensive Compression Therapies, LLC

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.