PHILIP ROBERT WISIACKAS (MD) – Family Medicine Physician, NPI 1568454304

PHILIP ROBERT WISIACKAS (MD) is a healthcare provider. based in Coldspring, Texas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. F4703 (TX). The NPI Number for PHILIP ROBERT WISIACKAS (MD) is 1568454304

Main info

Male
Sole Proprietor
Name
PHILIP ROBERT WISIACKAS (MD)
NPI
1568454304
Phone
(936) 653-4223
Address
110 HILL AVE
Enumeration Date
18 August 2005
Last Update Date
11 June 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PHILIP ROBERT WISIACKAS (MD)

  • 110, Hill Avenue, Coldspring, San Jacinto County, Texas, 77331, United States

    COLDSPRING, TX 773315406

    Phone: (936) 653-4223

    Fax: (936) 653-5042

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-08

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77331)

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Reviews

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Frequently asked questions

How do payers reference PHILIP ROBERT WISIACKAS (MD)?
For PHILIP ROBERT WISIACKAS (MD), use NPI 1568454304 as the unique 10-digit identifier.
Is PHILIP ROBERT WISIACKAS (MD) still an active registrant?
PHILIP ROBERT WISIACKAS (MD) carries an active NPI according to the public dataset.
What expertise is attributed to PHILIP ROBERT WISIACKAS (MD)?
PHILIP ROBERT WISIACKAS (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is PHILIP ROBERT WISIACKAS (MD) associated with Coldspring?
Public fields place PHILIP ROBERT WISIACKAS (MD) around Coldspring, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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PHILIP R. WISIACKAS, M.D., P.A.

Family Medicine Physician
110 HILL AVE
NPI: 1174838411