Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235115650 Individual Practitioner Male Practitioner

Dr. Paul Pence Wisman , MD

Pediatrics • Charlottesville, VA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Paul Wisman, MD is a registered healthcare professional specializing in Pediatrics in Charlottesville, VA. Official NPI practice address is registered at 1011 E JEFFERSON ST.

Practice Location & Contact Primary Location

Practice Address

1011 E Jefferson St

Charlottesville, VA 229025354

Telephone 4342969161
Fax 4342961036
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Charlottesville, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
126 Specialists

Practicing in Charlottesville, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101049022

A pediatrician 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
006725856 (VA)
Commercial Insurance / Payer ID Southern Health
12211500001 (VA)
Commercial Insurance / Payer ID Cigna
010724 (VA)
Commercial Insurance / Payer ID Mamsi/alliance
267258 (VA)
Commercial Insurance / Payer ID Anthem
333848 (VA)
Commercial Insurance / Payer ID Vetri
42728 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
NPI 1003893942

Doctor of Medicine (M.D.)

NPI 1013202928

Doctor of Medicine (M.D.)

NPI 1033196993

Doctor of Medicine (M.D.)

NPI 1033557541

Doctor of Medicine (M.D.)

NPI 1144206194

Doctor of Medicine (M.D.)

NPI 1144207580

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2012

Registered at 1011 E JEFFERSON ST, CHARLOTTESVILLE, VA 229025354 (Tel: 4342969161)

📍
Updated Business Mailing Address September 29, 2012

Registered at 104 KERRY LN, CHARLOTTESVILLE, VA 229012925 (Tel: 4349733806)

👤
Provider Name / Credentials Updated September 29, 2012

Recorded as PAUL WISMAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2012

Pediatrics (License #0101049022 in VA)

🟢
Initial NPI Registration & Enumeration December 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235115650
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2005
Last Update: September 29, 2012
Sole Proprietor: No

Mailing Address

104 Kerry Ln

Charlottesville, VA 229012925

Phone: 4349733806

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.