Individual provider Active NPI

Erin Wisman, M.D.

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1770845315
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101261443 Issued in VA
Practice address
201 N Hamilton St
Richmond, VA 23221-2601
Phone
(804) 355-4358
Fax
(804) 213-0548
NPI assigned
Jun 11, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD15157 RI
Family Medicine Physician 207Q00000X 0101261443 VA Primary

Addresses

Primary practice location

201 N Hamilton St
Richmond, VA 23221-2601

Mailing address

201 N Hamilton St
Richmond, VA 23221-2601
Phone (804) 355-4358

Other identifiers 2

IdentifierTypeStateIssuer
0101261443OtherRIVIRGINIA BOARD OF MEDICINE
MD15157OtherRIRHODE ISLAND MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20200123000614 DC Practitioner - Family Practice 1557599743 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15157RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health CurrentSince Dec 7, 2019 Accepting new patients
Neighborhood Health Current Accepting new patients
Neighborhood Health Family Medicine CurrentSince Dec 7, 2019 Accepting new patients

Locations

2 E Glebe Rd
Alexandria, VA 22305
Phone (703) 535-6913

8221 Willow Oaks Corporate Dr
Ste 450
Fairfax, VA 22031
Phone (703) 237-3446

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14593/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770845315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N HAMILTON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212601",
            "telephone_number": "804-355-4358",
            "fax_number": "804-213-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N HAMILTON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212601",
            "telephone_number": "804-355-4358",
            "fax_number": "804-213-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISMAN",
        "first_name": "ERIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD15157",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101261443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF MEDICINE",
            "identifier": "0101261443",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND MEDICAL BOARD",
            "identifier": "MD15157",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.