MEDICARE: HEATH WISEMAN

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
1	341600000X	Ambulance

General Provider Information

NPI Number	:	1952267072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATH WISEMAN

Provider Business Mailing Address
First Line	:	5670 BUCKHANNON ST
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-7522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 WINCHESTER PIKE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-5555
Country	:	US
Telephone Number	:	352-283-0842
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/02/2026

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Directions to “ HEATH WISEMAN ” Practice Location

Language	Start Address	Practice Location

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