CRAIG M. WISEMAN


Address: 2405 Shadelands Dr, Walnut Creek, CA 94598-2444
Phone: 9259398585

CRAIG M. WISEMAN (NPI# 1558386524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558386524
Entity Type Individual
Full Name CRAIG M. WISEMAN
Credential M.D.
Practice Address 2405 Shadelands Dr
Walnut Creek
CA 94598-2444
Mailing Address Po Box 31396
Walnut Creek
CA 94598-8396
Practice Telephone 9259398585
Practice Fax Number 9259332709
Mailing Telephone 9259398585
Mailing Fax Number 9259332709
Enumeration Date 2006-07-12
Last Update Date 2013-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist A89927 CA Other Service Providers

Office Location

Street Address 2405 SHADELANDS DR
City WALNUT CREEK
State CA
Zip Code 94598-2444

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316939556 Sequoia Surgical Center Lp Clinic/Center 2405 Shadelands Dr, Suite 200, Walnut Creek, CA 94598-2444 2005-08-15
1306499272 Kevin Byrne Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2019-07-19
1881062750 Zachary Symmes Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2015-09-09
1174914410 Anna Geller Registered Nurse 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2015-02-09
1255720025 Gayle Fenner Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2015-01-16
1689075236 Michael Francis Cadette Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2014-09-12
1508270075 Richard Friedell Physical Therapist 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2014-06-12
1235562489 Mario Pisani Physical Therapist 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2013-08-12
1922379940 Bronwyn Fevaleaki Physical Therapist 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2012-01-23
1891083408 Mariel P Heller-benson Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2011-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639716608 Tasnim Diaf Moulton Counselor 2730 Shadelands Drive, Walnut Creek, CA 94598 2019-12-09
1790255370 Harmony Grace Davis Behavior Technician 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 2018-11-27
1922583772 Melissa Anne Mcgovern Behavioral Analyst 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 2018-09-27
1184108367 Brett Heflin Woodrufff Behavior Technician 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 2018-09-24
1710411640 Mandy Wei Pharmacist 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 2017-04-18
1437683497 Hayley Miller Student in an Organized Health Care Education/Training Program 2204 Lomond Lane, Walnut Creek, CA 94598 2017-04-17
1043601594 Marlene Perez Riedel Nurse Practitioner 450 North Wiget Lane, Walnut Creek, CA 94598 2015-02-05
1922418904 Dante Michael Sorrentino Ophthalmology Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 2014-04-30
1194156505 Robert Harrison Hubbell Obstetrics & Gynecology 838 Stonehaven Dr, Walnut Creek, CA 94598 2013-12-11
1174954192 Paul Mead Orthopaedic Surgery 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 2013-12-01
Find all providers in zip 94598

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164982799 Salma Schempp Specialist 1632 Siskiyou Dr, Walnut Creek, CA 94598-2119 2019-03-20
1407248883 Playwrite Therapy East Bay Specialist 1661 Tice Valley Blvd, Suite 100, Walnut Creek, CA 94595-1692 2015-02-23
1700138666 William John Storz Jr. Specialist 18 Mi Elana Ct, Walnut Creek, CA 94598-3839 2012-10-02
1356609424 Gary Joseph Young Specialist 131 Corte Del Prado, Walnut Creek, CA 94598-3435 2012-04-26
1598030066 Leonard Morris Johnson Specialist 568 Monarch Ridge Dr, Walnut Creek, CA 94597-2956 2012-03-17
1609149020 Cheryl Fenner Brown Specialist 325 North Wiget Lane, Suite 130, Walnut Creek, CA 94598 2012-02-15
1245478098 Conrad Dean Colbrandt Specialist 2430 Walnut Blvd, Walnut Creek, CA 94597-3835 2009-02-02
1134397292 Gregory R. Banting Specialist 2950 Buskirk Ave., Suite 300, Walnut Creek, CA 94597-6900 2008-02-12
1598954380 George Huang Specialist 640 La Casa Via, Walnut Creek, CA 94598-4924 2007-10-17
1720275878 Rosemary Delgado Md., Inc Specialist 240 La Casa Via Ste 100, Walnut Creek, CA 94598-4863 2007-10-02
Find all providers in WALNUT CREEK

Competitor

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City WALNUT CREEK
Zip Code 94598

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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