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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A89927 | CA | Other Service Providers |
| Street Address |
2405 SHADELANDS DR |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2444 |
| 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 |
| Find all providers in the same location | ||||
| 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 Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| 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 | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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| 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.