Active NPI
Robert Wiser, MD
- Pediatrics Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 139864
- Practice address
- 86 W Underwood St
Orlando, FL 32806-1110 - Phone
- (407) 649-6876
- Fax
- (407) 872-0544
- NPI assigned
- Jun 29, 2016
- Last updated
- May 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN23581 | FL | |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 139864 | FL | |
| Pediatrics Physician | 208000000X | 139864 | FL | Primary |
Addresses
Primary practice location
86 W Underwood St
Orlando, FL 32806-1110
Mailing address
21624 Sullivan Ranch Blvd
Mount Dora, FL 32757-7863
Phone (931) 993-1277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139864 | FL | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Emergency Physicians-Heartland LLC | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| Emergency Physicians of Central Florida LLP | Current | Accepting new patients | |
| Night Shift Pediatrics LLC | Current | Accepting new patients | |
| Emergency Physicians Group | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Past | Accepting new patients | |
| Orlando Health Medical Group Inc | Pediatrics | Past | Accepting new patients |
| Florida Em-I Medical Services PA | Past | Accepting new patients |
Locations
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761
555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425
1414 S Orange Ave
#112
Orlando, FL 32806
Phone (407) 767-1200
92 W Miller St
Orlando, FL 32806
Phone (321) 841-4607
9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Orlando, FL
- NPI 1326033341
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
-
- Emergency Medicine Physician
- Huntsville, AL
- NPI 1659366649
-
- Urgent Care Clinic/Center
- Davenport, FL
- NPI 1629924394
-
dba Emergency Resources Group
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1285686675
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1871542720
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1790136927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21624 SULLIVAN RANCH BLVD",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327577863",
"telephone_number": "931-993-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 W UNDERWOOD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061110",
"telephone_number": "407-649-6876",
"fax_number": "407-872-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISER",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-29",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN23581",
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "FL",
"license": "139864",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "139864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.