CHARLES EDWARD WISEMAN (NPI# 1063975423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063975423 |
Entity Type | Individual |
Full Name | CHARLES EDWARD WISEMAN |
Practice Address |
8091 Sw 4th St Blue Springs MO 64014-7846 |
Practice Telephone | 3144963230 |
Mailing Telephone | 3144963230 |
Enumeration Date | 2019-04-11 |
Last Update Date | 2019-04-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 347C00000X | Private Vehicle | Transportation Services |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962493551 | Charles Louis Wiseman | Specialist | 8900 Wilshire Blvd, Second Floor, Beverly Hills, CA 90211-1958 | 2005-11-02 |
1033536800 | Charles Wiseman | Dentist | 2509 Pico Blvd, Santa Monica, CA 90405-1828 | 2014-03-18 |
Street Address |
8091 SW 4TH ST |
City | BLUE SPRINGS |
State | MO |
Zip Code | 64014-7846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
Find all providers in zip 64014 |
Taxonomy Code | 347C00000X |
Grouping | Transportation Services |
Classification | Private Vehicle |
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629686266 | Tahnee Glenn | Private Vehicle | 1618 Orleans Cir Apt 1c, Kansas City, MO 64116-3345 | 2020-07-20 |
1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
1245874577 | Stanley Von Alcorn | Private Vehicle | 15764 State Highway J, Campbell, MO 63933-8234 | 2019-10-30 |
1396386272 | Edna Marie Byrd | Private Vehicle | 5603 Bartmer Ave, Saint Louis, MO 63112-2803 | 2019-10-02 |
1427612134 | Holland Residential Services, Inc. | Private Vehicle | 12510 Jackson Ave, Grandview, MO 64030-1593 | 2019-04-28 |
1427523661 | Tfl, Inc. | Private Vehicle | 1000 Saint Marys Blvd, Jefferson City, MO 65109-1412 | 2018-10-03 |
1780183434 | Tianna L Smith | Private Vehicle | 439 Fassen St, Saint Louis, MO 63111-1912 | 2018-02-08 |
1093221749 | Lettuce Dream | Private Vehicle | 1623 E 2nd St, Maryville, MO 64468-1959 | 2017-12-18 |
1033663687 | Hali Express Transportation | Private Vehicle | 3024 Wabash Ave, Kansas City, MO 64109-2172 | 2016-08-12 |
1487001574 | Jewel Jeffries | Private Vehicle | 9756 Dennis Dr, Saint Louis, MO 63136-1902 | 2016-05-18 |
Find all providers with the same taxonomy |
City | BLUE SPRINGS |
Zip Code | 64014 |
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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.