Mary L Wisniewski (NPI# 1548201890, PAC ID# 4082947452) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1548201890 |
| PAC ID by PECOS | 4082947452 |
| Professional Enrollment ID | I20190618001230 |
| Full Name | Mary L Wisniewski |
| Organization Legal Name | JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA |
| Address |
118 Memorial Dr Jacksonville NC 28546-6328 |
| Phone Number | 9103530581 |
| Gender | F |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 6709968811 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 118 Memorial Dr, Jacksonville, NC 28546-6328 | 9103530581 | JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA |
| 120 Memorial Dr, Jacksonville, NC 28546-6328 | 9103530581 | JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA |
| Organization Legal Name | JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kiem M Hioe | Allergy/immunology | Jacksonville Children's and Multispecialty Clinic, Pa | 152 Memorial Ct, Jacksonville, NC 28546-6322 |
| Denise Gallagher | Family Medicine | Jacksonville Children's and Multispecialty Clinic, Pa | 120 Memorial Dr, Jacksonville, NC 28546-6328 |
| Stefanie L Harman | Nurse Practitioner | Jacksonville Children's and Multispecialty Clinic, Pa | 637 S Kerr Ave, Wilmington, NC 28403-8423 |
| Luanne G Sheaffer | Physician Assistant | Jacksonville Children's and Multispecialty Clinic, Pa | 114 A Memorial Dr, Jacksonville, NC 28546-6328 |
| David J Ahlberg | Psychiatry | Jacksonville Children's and Multispecialty Clinic, Pa | 156 Memorial Ct, Jacksonville, NC 28546-6322 |
| Mary E Bundle | Physician Assistant | Jacksonville Children's and Multispecialty Clinic, Pa | 144 Memorial Ct, Jacksonville, NC 28546-6322 |
| Khye S Leong | Gastroenterology | Jacksonville Children's and Multispecialty Clinic, Pa | 152 Memorial Ct, Jacksonville, NC 28546-6322 |
| Alex Yu-chow Tse | Pediatric Medicine | Jacksonville Children's and Multispecialty Clinic, Pa | 120 Memorial Dr, Jacksonville, NC 28546-6328 |
| Alexis T Alexander Epperly | Family Medicine | Jacksonville Children's and Multispecialty Clinic, Pa | 120 Memorial Dr, Jacksonville, NC 28546-6328 |
| Carol S Raynor | Nurse Practitioner | Jacksonville Children's and Multispecialty Clinic, Pa | 114 A Memorial Dr, Jacksonville, NC 28546-6328 |
| Street Address |
118 MEMORIAL DR |
| City | JACKSONVILLE |
| State | NC |
| Zip | 28546-6328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madhur Mittal | Pediatric Medicine | Jacksonville Children's and Multispecialty Clinic, Pa | 118 Memorial Dr, Jacksonville, NC 28546-6328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Logan Alexander Kaptis | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Taylor Elise Curfman | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Brianne Landholt | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Kelly Cabanne | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Scott A Playford | Sports Medicine | Emergeortho Pa | 2000 Brabham Ave, Jacksonville, NC 28546-0200 |
| Antionio E Rodriguez | Cardiovascular Disease (cardiology) | Carolinaeast Physicians | 4275 Western Blvd, Jacksonville, NC 28546-1100 |
| Becky Holmberg | Physical Therapy | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| David Donald Johanson | Physical Therapy | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| Patrice L Stange | Occupational Therapy | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| Neil Duane Jones | General Surgery | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| Find all physicians in zip 28546 | |||
| City | JACKSONVILLE |
| Zip Code | 28546 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | JACKSONVILLE + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Mary L Wisniewski.
| 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.