Active NPI
Jeffrey M Wisser DO LLC
- Surgery Physician
- Lima, OH
National Provider Identifier
1659552255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- JEFFREY M WISSER DO LLC
- Practice address
- 750 W High St
Suite 330
Lima, OH 45801-2969 - Phone
- (419) 228-1077
- Fax
- (419) 228-1075
- NPI assigned
- Nov 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey M Wisser, D.O.
- Title
- President
- Phone
- (419) 228-1077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OH | Primary |
Addresses
Primary practice location
750 W High St
Suite 330
Lima, OH 45801-2969
Mailing address
750 W High St
Suite 330
Lima, OH 45801-2969
Phone (419) 228-1077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD6265 | Other | OH | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
770 W High St
Ste 400
Lima, OH 45801
Phone (419) 224-0084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353888000000",
"number": "1659552255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 W HIGH ST",
"address_2": "SUITE 330",
"city": "LIMA",
"state": "OH",
"postal_code": "458012969",
"telephone_number": "419-228-1077",
"fax_number": "419-228-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 W HIGH ST",
"address_2": "SUITE 330",
"city": "LIMA",
"state": "OH",
"postal_code": "458012969",
"telephone_number": "419-228-1077",
"fax_number": "419-228-1075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY M WISSER DO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-25",
"last_updated": "2012-11-26",
"status": "A",
"authorized_official_last_name": "WISSER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-228-1077",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD6265",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.