MR. ROBERT JAMES WISHMEYER (NPI# 1790755684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790755684 |
| Entity Type | Individual |
| Full Name | MR. ROBERT JAMES WISHMEYER |
| Credential | PA-C |
| Practice Address |
1801 Fuller Rd Meridian MS 39309-5106 |
| Practice Telephone | 6016792633 |
| Practice Fax Number | 6016793232 |
| Mailing Telephone | 6016792633 |
| Mailing Fax Number | 6016793232 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1061148 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1801 FULLER RD |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39309-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972583664 | Rowland Eugene Mccoy | Dentist | 1801 Fuller Rd, Bldg 367, Meridian, MS 39309-5106 | 2006-01-19 |
| 1609076033 | Branch Medical Clinic Meridian | Clinic/Center | 1801 Fuller Rd, Meridian, MS 39309-5106 | 2007-07-24 |
| 1851592067 | Montoya Demont Gunn | Military Health Care Provider | 1801 Fuller Rd, Suite A-01, Meridian, MS 39309-5106 | 2007-05-29 |
| 1720144652 | Earl Gastador Bercide | Military Health Care Provider | 1801 Fuller Rd, Meridian, MS 39309-5107 | 2006-12-28 |
| 1033294533 | Christopher Robert Sharpe | Physician Assistant | 1801 Fuller Rd, Meridian, MS 39309-5106 | 2006-10-25 |
| 1154414191 | Steven M. Piper | General Practice | 1801 Fuller Rd, Meridian, MS 39309-5106 | 2006-10-02 |
| 1700983558 | Naval Hospital Pensacola | Pharmacy | 1801 Fuller Rd, Bldg 367 Ste A01, Meridian, MS 39309-5107 | 2006-09-20 |
| 1265463095 | Milli M Floyd | Pharmacist | 1801 Fuller Rd, Meridian, MS 39309-5106 | 2006-07-06 |
| 1669442786 | James Eugene Clark | Dentist | 1801 Fuller Rd, Suite D-18, Meridian, MS 39309-5106 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528038296 | Johnny Lee Cosby | Optometrist | 1801 Fuller Rd Ste A01, Meridian, MS 39309 | 2006-01-25 |
| 1093863433 | Angeles L Ballou | Nurse Practitioner | Nbhc Nas Meridian, 1801 Fuller Road Bldg 367, Meridian, MS 39309-0001 | 2007-01-08 |
| 1194705665 | Bonnie Roberts Chavez | Psychologist | Naval Branch Health Clinic, 1801 Fuller Rd. Suite A-01 Bldg 367, Meridian, MS 39309-0001 | 2006-01-19 |
| 1861472748 | Karlyna L. D. Andersen | Family Medicine | Naval Branch Health Clinic, 1801 Fuller Rd. Suite A-01 Bldg 367, Meridian, MS 39309-0001 | 2006-01-18 |
| 1477533255 | Craig Morgenstern | Family Medicine | Naval Branch Health Clinic, 1801 Fuller Road, Suite A-01, Bldg 367, Meridian, MS 39309-0001 | 2006-01-18 |
| 1568545556 | Angela Mcdonald | Nurse Practitioner | Nbhc Meridian 1801 Fuller St Bldg 367, Meridian, MS 39309-3107 | 2006-10-23 |
| 1265843155 | Patricia Everette | Social Worker | 1155 Rosenbaum Ave, Building 405, Naval Air Station, Meridian, MS 39309-5062 | 2014-05-13 |
| 1245210269 | Ann Louise Lagreco | Dentist | Naval Branch Health Clinic, 1801 Fuller Rd Ste A-01, Meridian, MS 39309-5106 | 2006-01-17 |
| 1972917060 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 367 Fuller Rd Ste A-15, Meridian, MS 39309-5408 | 2014-06-17 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1790224905 | Yustina Nader Rafla | Physician Assistant | 520 S Eagle Rd Ste 1243, Meridian, ID 83642-6355 | 2017-02-21 |
| 1295163160 | Kalyn Baisley | Physician Assistant | 360 E Montvue Dr # 100, Meridian, ID 83642-6318 | 2013-10-31 |
| 1063601177 | Richard A Trump | Physician Assistant | 3015 E Magic View Dr Ste 120, Meridian, ID 83642-3750 | 2007-10-15 |
| 1740476969 | Laura B Allen | Physician Assistant | 1618 Millenium Way Ste 100, Meridian, ID 83642-6457 | 2007-09-20 |
| 1568499713 | Brian D Friedt | Physician Assistant | 1618 S. Millennium Way, Suite 100, Meridian, ID 83642-6457 | 2006-06-26 |
| 1114966959 | Stephen J Frelly | Physician Assistant | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2006-06-06 |
| 1114964616 | Amber M Vickers | Physician Assistant | 1623 S. Wells Avenue, Meridian, ID 83642 | 2006-06-01 |
| 1336196757 | Kathleen Rose Nielsen | Physician Assistant | 3041 E Copper Point Dr, Meridian, ID 83642-1740 | 2006-05-30 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on MR. ROBERT JAMES WISHMEYER.
| 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.