Richard J Wiseley, MD

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

35025209 Issued in OH

Practice address

3425 Executive Pkwy
Ste 107
Toledo, OH 43606-1326

Phone

(419) 535-7798

Fax

(419) 535-6654

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• DRS Wiseley & Hunter Inc

  • Allergy & Immunology Physician
  • Toledo, OH
  • NPI 1710909783
  NPD (past)
• Wellcare Physicians Group LLC

  • Family Medicine Physician
  • Maumee, OH
  • NPI 1558567636
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710969985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 EXECUTIVE PKWY STE 107",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061333",
            "telephone_number": "419-535-7798",
            "fax_number": "419-535-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 EXECUTIVE PKWY",
            "address_2": "STE 107",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061326",
            "telephone_number": "419-535-7798",
            "fax_number": "419-535-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISELEY",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "OH",
            "license": "35025209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074360",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katina Winters
• Maura Elizabeth Winters
• Shamika S Winters, LMT, LPN
• Kristen Wise, LSW
• Latanya Idella Wise
• Michael E Wiseman, LSW
• Kristina K Wisner, RRT
• Stacey L Wisnieski, CT
• Allisan Wisniewski, NP-C
• Ryan A Wisniewski, PH.D.

• Allergy & Immunology (Internal Medicine) Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Allergy & Immunology (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.