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KIMBERLY R WISECUP D.O.
NPI 1720469729
Pediatrics - Neonatal-Perinatal Medicine in Las Vegas, NV

Active since June 15, 2015
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109(702) 961-5000 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly R Wisecup D.o. NPPES

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

KIMBERLY R WISECUP D.O. (NPI 1720469729) is an individual neonatal-perinatal medicine provider in Las Vegas, Nevada, licensed in Nevada (DO3189) and active in the NPI registry since June 2015. She maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1720469729
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameKIMBERLY R WISECUPCredential: D.O.
Location Address3186 S MARYLAND PKWYLas Vegas, NV 89109-2306
Mailing Address3186 S Maryland PkwyLas Vegas, NV 89109-2306 · (801) 915-0546
Phone(702) 961-5000
Sole ProprietorNo
Enumeration DateJune 15, 2015
Last NPPES UpdateJune 29, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1720469729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NV · DO3189
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License OS019367 (PA)
3186 S MARYLAND PKWY, Las Vegas, NV 89109
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Secondary Practice Location 1

Location 1500 University DrHershey, PA 17033-0850 · Phone (717) 531-8413

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADIOLOGY SPECIALISTS, LTD.
Radiology (Vascular & Interventional Radiology)
3186 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (703) 961-5000
KAITLYN NICOLE WALDEN MD
Pediatrics
3186 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 961-5437
ARASH ALBEKORD M.D.
Emergency Medicine
3186 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 731-8000
JAMES CLAY LEE PHYSICIAN ASSISTANT
Physician Assistant
3186 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 961-5000
JEMAL A BUSSE
Nurse Practitioner (Psychiatric/Mental Health)
3186 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 415-3787
DR. BALAJI RAMASAMY M.D
Internal Medicine
3186 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 731-8211
MARK H STEINHAUER, MD PC
Physical Medicine & Rehabilitation
3186 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 731-8000
DR. ROYA LAURA MAHANA D.O.
Emergency Medicine
3186 S MARYLAND PKWY
LAS VEGAS, NV 89109
Clark County (702) 961-5000

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 Kimberly Wisecup's NPI number?

The NPI number for Kimberly Wisecup is 1720469729. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Kimberly Wisecup located?

Kimberly Wisecup practices at 3186 S Maryland Pkwy, Las Vegas, NV 89109. The listed phone number is (702) 961-5000.

What is Kimberly Wisecup's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Kimberly Wisecup was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.