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NPI Code Detail

MEDICARE: RALPH L WISCHMEYER M.D.

MEDICARE: RALPH L WISCHMEYER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician01044780IN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4050054407OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3415832POTHERINSIHO
55187499OTHERAETNA
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7000000042212OTHERINANTHEM BCBS
82436126000OTHERKYPASSPORT ADVANTAGE

General Provider Information

NPI Number : 1225065188
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALPH L WISCHMEYER M.D.
Provider Business Mailing Address
First Line : 3220 SYCAMORE CT.
Second Line : SUITE 1B
City : COLUMBUS
State : IN
Zip : 47203-1545
Country : US
Telephone Number : 812-265-5211
Fax Number : 812-265-0570
Provider Business Practice Location Address
First Line : 3220 SYCAMORE CT.
Second Line : SUITE 1B
City : COLUMBUS
State : IN
Zip : 47203-1545
Country : US
Telephone Number : 812-265-5211
Fax Number : 812-265-0570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 04/02/2024

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