Active NPI
Paul Jonathon Wiseman Jr.
- Family Nurse Practitioner
- Newark, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.021551
- Practice address
- 1478 W Main St
Newark, OH 43055-3687 - Phone
- (740) 366-1648
- NPI assigned
- Feb 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.021551 | OH | Primary |
Addresses
Primary practice location
1478 W Main St
Newark, OH 43055-3687
Mailing address
3499 Belmont Ave
Youngstown, OH 44505-1807
Phone (330) 744-0221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6200 Whipple Ave NW
North Canton, OH 44720-7624
Phone (330) 966-8689
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433
Hospital & facility affiliations
- Mercy Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quick Med Urgent Care LLC | Current | Accepting new patients | |
| Incare Health Solutions LLC | Current | Accepting new patients | |
| Incare Health Solutions, LLC | Family | Current | Accepting new patients |
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients |
Locations
4135 Tuscarawas St W
Canton, OH 44708
Phone (330) 546-0913
1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
211 Edgefield Blvd
Marion, OH 43302
6200 Whipple Ave NW
North Canton, OH 44720
Phone (330) 966-8884
7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002
3499 Belmont Ave
Youngstown, OH 44505
Phone (330) 476-2260
Interoperability endpoints
- https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Internal Medicine Physician
- Marion, OH
- NPI 1235422403
-
- Dental Clinic/Center
- Canton, OH
- NPI 1023362100
-
- Urgent Care Clinic/Center
- Youngstown, OH
- NPI 1528528726
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1811496136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3499 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051807",
"telephone_number": "330-744-0221",
"fax_number": "330-744-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1478 W MAIN ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430553687",
"telephone_number": "740-366-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISEMAN",
"first_name": "PAUL",
"middle_name": "JONATHON",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-02",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.021551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.