Individual Healthcare Provider
Andrea E Wismann, M.D.
Provider's NPPES record last updated: January 7, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1073756045
- Primary Specialty
- Family Medicine — Geriatric Medicine
- Practice Location
- Midwest City, Oklahoma
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:48 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Geriatric Medicine
Allopathic & Osteopathic Physicians
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Taxonomy code 207QG0300X Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X
Provider-Reported License Information
- Family Medicine (Oklahoma)
- 39061
- Family Medicine (Colorado)
- DR0051260
Practice Locations
Practice Location
6951 Se 15th St
Midwest City, Oklahoma 73110-2748
Phone: (405) 233-0450
Additional Practice Location
1122 Ne 13th St # 1200
Oklahoma City, Oklahoma 73117-1039
Phone: (405) 271-8558
Fax: (405) 271-3887
Additional Practice Location
373 E 10th Ave
Springfield, Colorado 81073-1622
Phone: (719) 523-6628
Fax: (719) 523-4513
Record Information
- Enumeration Date
- April 7, 2009
- Provider's NPPES Record Last Updated
- January 7, 2026
- Certification Date
- January 7, 2026
- NPISignal NPPES Dataset
- August 2026
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