Mr. Paul Pence Wisman Jr.
M.D. | Pediatrics | Male
Mr. Paul Pence Wisman Jr., M.D. is a Charlottesville, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Paul Pence Wisman Jr. is
1011 E Jefferson St, Charlottesville, Virginia - 22902-5354. He can be contacted on phone at
434-296-9161 and fax number 434-296-1036.
Mr. Paul Pence Wisman Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Paul Pence Wisman Jr. is
1235115650 which was assigned by NPPES on 17 Dec, 2005 and it was last updated on 29 Sep, 2012.
Mr. Paul Pence Wisman Jr. license number is
0101049022 for Pediatrics (208000000X) in Virginia.
Mr. Paul Pence Wisman Jr. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Paul Pence Wisman Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mr. Paul Pence Wisman Jr. |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Mr. Paul Pence Wisman Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1011 E Jefferson St
Charlottesville, VA, 22902-5354
United States |
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| Phone Number : | 434-296-9161 |
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| Fax Number : | 434-296-1036 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235115650 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Dec, 2005 |
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| Last Updated On : | 29 Sep, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Paul Pence Wisman Jr. are as mentioned. Primary taxonomy code for Mr. Paul Pence Wisman Jr., M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 0101049022 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Paul Pence Wisman Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 12211500001 | Other | VA | SOUTHERN HEALTH |
| 333848 | Other | VA | ANTHEM |
| 006725856 | MEDICAID | VA | |
| 42728 | Other | VA | VETRI |
| 010724 | Other | VA | CIGNA |
| 267258 | Other | VA | MAMSI/ALLIANCE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 104 Kerry Ln
Charlottesville, VA, 22901-2925
United States |
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| Phone Number : | 434-973-3806 |
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Business Location:
Patients can refer following map for directions to
Mr. Paul Pence Wisman Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.