Individual provider Active NPI

Stephen Porter Wiseman, D.O.

  • Orthopaedic Surgery Physician
  • Columbus, OH
National Provider Identifier
1851683429
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
55488 Issued in CT
Practice address
303 E Town St
Columbus, OH 43215-4601
Phone
(614) 788-5000
Fax
(614) 788-5100
NPI assigned
May 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 55488 CT Primary

Addresses

Primary practice location

303 E Town St
Columbus, OH 43215-4601

Mailing address

303 E Town St
Columbus, OH 43215-4601
Phone (614) 788-5000

Other practice location 1

47 College St
New Haven, CT 06510-3209
Phone (203) 785-6907

Other identifiers 1

IdentifierTypeStateIssuer
0257428MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swiseman21299@direct.ohiohealth.com OhioHealth Physician Group

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171004002297 OH Practitioner - Orthopedic Surgery 0749577906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Kentucky University Medical Department, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

303 E Town St
Columbus, OH 43215-4601
Phone (614) 788-5000

Hospital & facility affiliations

  • Ohiohealth Home Health With Compassus Home health agency, Dublin, OH, CCN 367615
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Aug 21, 2017 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 21, 2017 Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3705 Olentangy River Rd
Columbus, OH 43214
Phone (614) 533-6620

Dept L3652
Columbus, OH 43260

303 E Town St
Columbus, OH 43215
Phone (614) 788-5000

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1851683429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154601",
            "telephone_number": "614-788-5000",
            "fax_number": "614-788-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154601",
            "telephone_number": "614-788-5000",
            "fax_number": "614-788-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 College St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103209",
            "country_code": "US",
            "telephone_number": "203-785-6907",
            "fax_number": "203-737-4687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "STEPHEN",
        "middle_name": "PORTER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2022-01-25",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "55488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257428",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swiseman21299@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "303 E Town St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.