Allison Jane Wiesman

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01066799A Issued in IN

Practice address

156 W Muskegon Dr
Greenfield, IN 46140-3069

Phone

(317) 468-6270

Fax

(317) 468-6268

NPI assigned

May 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hancock Physician Network, LLC

  • Family Medicine Physician
  • Greenfield, IN
  • NPI 1609806470

  Pediatrics

  Medicare reassignment NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1710198957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MCKENZIE RD",
            "address_2": "SUITE H",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403084",
            "telephone_number": "317-462-2335",
            "fax_number": "317-462-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W MUSKEGON DR",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403069",
            "telephone_number": "317-468-6270",
            "fax_number": "317-468-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESMAN",
        "first_name": "ALLISON",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-26",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11013113A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01066799A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200945360",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000617054",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "200311740E",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "208000000X",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macy White, OTR
• Tabitha D White, LMT
• Darryan Whiteside
• Whitewater Eye Centers LLC (Whitewater Eye Center Greenfield)
• Thomas L Whittaker, MD
• John Wildman, PA
• Kalen Leigh Wilkes, PA
• Jennifer Wilkinson, PHARMD
• Delynn M Williams, M.D.
• Ragan Michelle Williams

• Pediatrics Physician in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.