ALLISON WYMAN MD LLC
NPI 1629780143
Urology - Urogynecology and Reconstructive Pelvic Surgery in Tampa, FL

Q: What is Allison Wyman MD LLC's NPI number?

The NPI number for Allison Wyman MD LLC is 1629780143. It was assigned to this organization in the NPPES registry on December 15, 2022.

Q: What is Allison Wyman MD LLC's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Active since December 15, 2022

2919 W SWANN AVE STE 404, TAMPA, FL 33609(813) 773-0579 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2024, Oct 23, 2023, Aug 16, 2023 and 2 more (5 updates tracked since 2022).

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About Allison Wyman Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLISON WYMAN MD LLC (NPI 1629780143) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Tampa, Florida and active in the NPI registry since December 2022. The organization maintains a secondary practice location in Bradenton and lists Maria Otero, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1629780143

Entity TypeOrganization

Primary Taxonomy2088F0040X

Legal Business NameALLISON WYMAN MD LLC

Location Address2919 W SWANN AVE STE 404Tampa, FL 33609-4052

Mailing Address2410 Northside DrClearwater, FL 33761-2236 · (727) 499-0351 · Fax (727) 781-3312

Phone(813) 773-0579

Organization SubpartNo

Authorized OfficialMaria OteroCredentialing Specialist · (727) 499-0351

Enumeration DateDecember 15, 2022

Last NPPES UpdateOctober 21, 20245 updates tracked since enumeration

NPPES CertifiedOctober 21, 2024

✔ NPI 1629780143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2088F0040X

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X

2919 W SWANN AVE STE 404, Tampa, FL 33609

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Other Names 1

Doing Business AsAllison Wyman Md Llc

Secondary Practice Location 1

Location 15460 63rd St EBradenton, FL 34203-7808 · Phone (813) 773-0579 · Fax (941) 253-3401

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allison Wyman Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Allison Wyman MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Allison Wyman, M.D.

Obstetrics/Gynecology

NPI 1598909889

2919 W SWANN AVE STE 404
Tampa, FL 33609

(813) 773-0579

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allison Wyman MD LLC's NPI number?

The NPI number for Allison Wyman MD LLC is 1629780143. It was assigned to this organization in the NPPES registry on December 15, 2022.

Where is Allison Wyman MD LLC located?

Allison Wyman MD LLC is located at 2919 W Swann Ave Ste 404, Tampa, FL 33609. The listed phone number is (813) 773-0579.

What is Allison Wyman MD LLC's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Is Allison Wyman MD LLC enrolled in Medicare?

Yes. Allison Wyman MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allison Wyman MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Allison Wyman MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Allison Wyman MD LLC was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.