Robert L. Wiskocil, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

G35989 Issued in CA

Practice address

1776 Ygnacio Valley Rd
Suite 106
Walnut Creek, CA 94598-3190

Phone

(925) 974-7000

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Ronald G Connolly MD

  • Rheumatology Physician
  • Walnut Creek, CA
  • NPI 1679641153
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1992883094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD",
            "address_2": "SUITE 106",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983190",
            "telephone_number": "925-974-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD",
            "address_2": "SUITE 106",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983190",
            "telephone_number": "925-974-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISKOCIL",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G35989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G359890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Wisdom
• Wise Medical, Inc.
• Alphaeus Mansfield Wise, M.D.
• D. Miller Wise, MD
• Craig M. Wiseman, M.D.
• Elaine W With, MS
• David Wixson, M.D.
• Sandra Dawn Wohali, LCSW, MAT
• Caleb Abebe Woldemariam
• Carolyn G Wolf-Flores, MA

• Rheumatology Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.