DR. JEFFREY MARK WISE II (NPI# 1053871004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053871004 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MARK WISE II |
| Credential | DO |
| Practice Address |
3901 Rainbow Blvd Kansas City KS 66160-4260 |
| Mailing Address |
3901 Rainbow Blvd Kansas City KS 66160-8500 |
| Practice Telephone | 9135885000 |
| Mailing Telephone | 9135885000 |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760698716 | Jeffrey Bruce Wise | Otolaryngology | 1680 Route 23 Ste 120, Wayne, NJ 07470-7520 | 2007-05-15 |
| 1952422529 | Jeffrey Keith Wise | Dentist | 2350 Grass Valley Hwy, Auburn, CA 95603 | 2007-04-02 |
| 1164043188 | Jeffrey Wayne Wise | Audiologist | 4351 E Lohman Ave Ste 103, Las Cruces, NM 88011-8258 | 2020-04-30 |
| 1346613460 | Jeffrey Daniel Wise | Physical Therapy Assistant | 15 Kirkbride Dr, Danvers, MA 01923-6011 | 2015-11-11 |
| 1609893155 | Jeffrey J Wise | Orthopaedic Surgery | 52 W Shirley Ave, Warrenton, VA 20186 | 2006-07-17 |
| Street Address |
3901 RAINBOW BLVD |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66160-4260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567384 | Larry Donald Cordell | Orthopaedic Surgery | 3901 Rainbow Blvd, Ms 3017, Kansas City, KS 66160 | 2005-06-09 |
| 1386243368 | University of Kansas Hospital Authority | Clinic/Center | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-10-21 |
| 1043825532 | Manan Karki | Anesthesiology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-09-10 |
| 1245843887 | May Alorainy | Internal Medicine | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-08-24 |
| 1205447158 | Akshaya Prabhakaran Sduha | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-08-13 |
| 1205446622 | Syed Muhammad Abbas Hussain | Psychiatry & Neurology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-08-01 |
| 1265059505 | Bradley Michael Coomes | Nurse Anesthetist, Certified Registered | 3901 Rainbow Blvd, Department of Anesthesiology 2037 Delp, Kansas City, KS 66160 | 2020-07-02 |
| 1063039519 | Cassie Lynn Joly | Nurse Practitioner | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-07-01 |
| 1225654478 | Frederico Augusto Duarte Villa-chan Filho | Internal Medicine | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-06-24 |
| 1881219954 | Anand Dharia | Neurological Surgery | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541594 | Julian Diaz Abele | Plastic Surgery | 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 | 2020-09-03 |
| 1831650670 | Autumn Brubaker | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd Ste Ms 2027, Kansas City, KS 66160 | 2019-03-26 |
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1871086876 | Mirna Asham | Student in an Organized Health Care Education/Training Program | Medical Office Building, 2000 Olathe Blvd, Kansas City, KS 66160 | 2018-06-13 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1508360207 | Rachel Guest | Student in an Organized Health Care Education/Training Program | Kansas University Medical Center 4000 Cambridge St, Kansas City, KS 66160 | 2018-03-19 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1609304112 | Zihan Masood | Neurological Surgery | The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 | 2017-05-28 |
| 1144752601 | Lindsay Marie Baldridge | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd. M/s 4004, University of Kansas Pediatrics Residency, Kansas City, KS 66160 | 2017-04-03 |
| Find all providers in zip 66160 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993093 | Alyssa Brown | Student in an Organized Health Care Education/Training Program | 1444 Grand Blvd Apt 1201, Kansas City, MO 64106-2975 | 2020-08-18 |
| 1093330599 | Tarek Haidar | Student in an Organized Health Care Education/Training Program | Research Medical Center / Goppert Family Medicine, 6675 Holmes Road, Ste 450, Kansas City, MO 64131 | 2020-06-10 |
| 1174142640 | John Price | Student in an Organized Health Care Education/Training Program | 12806 Lathrop Ave, Kansas City, KS 66109-1003 | 2020-04-14 |
| 1104454396 | Bryan Clements | Student in an Organized Health Care Education/Training Program | 3940 Genessee St, Kansas City, MO 64111-4105 | 2020-04-01 |
| 1699302729 | Molly Bliss | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 4034, Kansas City, KS 66160-8500 | 2020-03-26 |
| 1205467578 | Tina Thanh Thuy Tran | Student in an Organized Health Care Education/Training Program | 5100 Grand Ave, Kansas City, MO 64112-2739 | 2020-01-27 |
| 1124659495 | Danni Gray | Student in an Organized Health Care Education/Training Program | 806 E 110th Ter, Kansas City, MO 64131-3543 | 2020-01-27 |
| 1841821113 | Shannon Rebecca Pulliam | Student in an Organized Health Care Education/Training Program | 3012 Charlotte St, Kansas City, MO 64109-1422 | 2020-01-27 |
| 1578194841 | Michael Peter Schooley | Student in an Organized Health Care Education/Training Program | 5414 N Mercier Ave, Kansas City, MO 64118-7821 | 2020-01-27 |
| 1023649399 | Jessica Hartzler | Student in an Organized Health Care Education/Training Program | 25 E 12th St Apt 1102, Kansas City, MO 64106-2342 | 2020-01-27 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66160 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.