Andrea E. Wismann
SOUTHEAST COLORADO HOSPITAL DISTRICT


Address: 373 E 10th Ave, Springfield, CO 81073-1622
Phone: 7195234501

Andrea E. Wismann (NPI# 1073756045, PAC ID# 0143463117) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1073756045
PAC ID by PECOS 0143463117
Professional Enrollment ID I20130823000987
Full Name Andrea E. Wismann
Organization Legal Name SOUTHEAST COLORADO HOSPITAL DISTRICT
Address 373 E 10th Ave
Springfield
CO 81073-1622
Phone Number 7195234501
Gender F
Medical School UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Graduation Year 2009
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 6204725138
Number of Group Practice Members 6
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
061311 SOUTHEAST COLORADO HOSPITAL DISTRICT
061323 PROWERS MEDICAL CENTER

Other Locations

Address Phone Organization
373 E 10th Ave, Springfield, CO 81073-1622 7195234501 SOUTHEAST COLORADO HOSPITAL DISTRICT

Organization Information

Organization Legal Name SOUTHEAST COLORADO HOSPITAL DISTRICT
Physicians 7

Physicians with the same organization

Name Specialty Organization Address
Dana L Greene Family Medicine Southeast Colorado Hospital District 373 E 10th Ave, Springfield, CO 81073-1622
Janette S Javier Emergency Medicine Southeast Colorado Hospital District 373 E 10th Ave, Springfield, CO 81073-1622
Antonio S Manalo Family Medicine Southeast Colorado Hospital District 373 E 10th Ave, Springfield, CO 81073-1622
Melvin Kile Viney Jr. Nurse Practitioner Southeast Colorado Hospital District 373 E 10th Ave, Springfield, CO 81073-1622
Ryan Mccomb Family Medicine Southeast Colorado Hospital District 373 E 10th Ave, Springfield, CO 81073-1622
Staci F Bishop Physician Assistant Southeast Colorado Hospital District 373 E 10th Ave, Springfield, CO 81073-1622

Office Location

Street Address 373 E 10TH AVE
City SPRINGFIELD
State CO
Zip 81073-1622

Physicians in the same location

Name Specialty Organization Address
Dana L Greene Family Medicine Southeast Colorado Hospital District 373 E 10th Ave, Springfield, CO 81073-1622
Janette S Javier Emergency Medicine Southeast Colorado Hospital District 373 E 10th Ave, Springfield, CO 81073-1622
Antonio S Manalo Family Medicine Southeast Colorado Hospital District 373 E 10th Ave, Springfield, CO 81073-1622
Melvin Kile Viney Jr. Nurse Practitioner Southeast Colorado Hospital District 373 E 10th Ave, Springfield, CO 81073-1622
Ryan Mccomb Family Medicine Southeast Colorado Hospital District 373 E 10th Ave, Springfield, CO 81073-1622
Staci F Bishop Physician Assistant Southeast Colorado Hospital District 373 E 10th Ave, Springfield, CO 81073-1622

Competitor

Search similar physicians

City SPRINGFIELD
Zip Code 81073
Specialty FAMILY MEDICINE
City + Specialty SPRINGFIELD + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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