DR. THOMAS WISENBAUGH (NPI# 1528049533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528049533 |
| Entity Type | Individual |
| Full Name | DR. THOMAS WISENBAUGH |
| Credential | M.D. |
| Practice Address |
1 Jarrett White Rd Tripler Army Medical Center Cardiology Section Tripler Amc HI 96859-5001 |
| Mailing Address |
682 Old Mokapu Rd Kailua HI 96734-1635 |
| Practice Telephone | 8084331225 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2011-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
12589 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER CARDIOLOGY SECTION |
| City | TRIPLER AMC |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515352 | Erin M Kang | Military Health Care Provider | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2020-10-09 |
| 1477199149 | Thomas Petersen | Physical Therapist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-11-18 |
| 1285277962 | Emily Floyd Simpson | Nurse Practitioner | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-10-24 |
| 1659931731 | Melissa Nycole Work | Audiologist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-06-19 |
| 1366000887 | Andrea Moon | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-05-30 |
| 1316500242 | Kaitlin Dresser | Dietitian, Registered | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-04-16 |
| 1366925414 | Quoc Tuan Minh Luong | Licensed Vocational Nurse | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-09-13 |
| 1487131249 | Alexander Junho Song | Dentist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-07-25 |
| 1922591304 | Hannah Russin | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-06-11 |
| 1184116592 | Adam Kisling | Internal Medicine | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992201685 | Cardiovascular Interventions of The Pacific, LLC | Internal Medicine | 321 N Kuakini St Ste 504, Honolulu, HI 96817-2361 | 2018-04-02 |
| 1437383213 | Giselle Baquero Caranama | Internal Medicine | 550 S Beretania St, Ste 702, Honolulu, HI 96813-2496 | 2009-05-08 |
| 1578702007 | Lawrence Derbes Md Inc. | Internal Medicine | 64-1032 Mamalahoa Hwy, Suite 201, Kamuela, HI 96743-8441 | 2009-02-05 |
| 1124264197 | Hawaii Cardiology LLC | Internal Medicine | 2226 Liliha St, Suite 302, Honolulu, HI 96817-1600 | 2008-12-22 |
| 1326234196 | Danelo R Canete Md Inc | Internal Medicine | 2228 Liliha St, Suite 305, Honolulu, HI 96817-1653 | 2007-09-14 |
| 1437376274 | Eckhart Diestel, Md P.l.l.c., P.a. | Internal Medicine | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2007-04-20 |
| 1417082744 | Dennis W Rowe | Internal Medicine | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-02-23 |
| 1396898557 | John J Cogan Md Inc | Internal Medicine | 1329 Lusitana St Ste 707, Honolulu, HI 96813-2434 | 2007-01-19 |
| 1922109024 | Marie E. Nguyen | Internal Medicine | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2006-09-25 |
| 1588764351 | Joseph L. Gerry | Internal Medicine | 221 Mahalani Street, Wailuku, HI 96793-2526 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
| City | TRIPLER AMC |
| Zip Code | 96859 |
Please comment or provide details below to improve the information on DR. THOMAS WISENBAUGH.
| 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.