Douglas Fenton Wiseman, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

D0070552 Issued in MD

Practice address

6836 Cookes Hope Rd
Easton, MD 21601-8302

Phone

(410) 690-0975

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in MD, DC2 enrollments

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 2

Specialty

Anesthesiology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tidewater Anesthesia Associates, PAGroup PAC ID 1254300361, 35 clinicians

Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

63.85 of 100Reported as group

Quality

57.47

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesthesia Company, LLC

  • Anesthesiology Physician
  • Annapolis, MD
  • NPI 1871548156

  DC

  Medicare reassignment Care Compare group NPD
• Tidewater Anesthesia Associates, PA

  • Anesthesiology Physician
  • Easton, MD
  • NPI 1780621474
  Medicare reassignment Care Compare group NPD
• First Colonies Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Columbia, MD
  • NPI 1740218767

  DC

  Medicare reassignment NPD
• Apollo Medical Group of Upper Bay LLC

  • Anesthesiology Physician
  • Elkton, MD
  • NPI 1114496759
  Medicare reassignment

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596931200000",
    "number": "1912987355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 COOKES HOPE RD",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216018302",
            "telephone_number": "410-690-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 COOKES HOPE RD",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216018302",
            "telephone_number": "410-690-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "DOUGLAS",
        "middle_name": "FENTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0070552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3514606",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anijah Wilson, CCMA
• Ann H Wilson, LCSW-C
• Rachel Marie Wilson, CRNP
• Carina Wilt, LCSW-C
• Deborah Jean Wise, OTR/L
• Mary K Wittig
• Nancy Kathryne Wohlser, RNC
• Sara Woldemichael, PHARMD.
• Abigail Wolfe, PA-C
• Charlie Woodrow Wolfe, BA

• Anesthesiology Physician in Easton, MD
• Providers in Easton, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; 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.

Verify at the official NPI Registry.