DR. STUART R WISE (NPI# 1154582443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154582443 |
| Entity Type | Individual |
| Full Name | DR. STUART R WISE |
| Credential | M.D. |
| Practice Address |
1579 Willow Ln Provo UT 84604-2804 |
| Practice Telephone | 8017224678 |
| Mailing Telephone | 8017224678 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
161107-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1579 WILLOW LN |
| City | PROVO |
| State | UT |
| Zip Code | 84604-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050221 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 1900 N State St Ste 105, Provo, UT 84604-1354 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437440377 | California Fertility Partners | Obstetrics & Gynecology | 2435 W 450 S, Suite 103, Pleasant Grove, UT 84062-3159 | 2011-04-26 |
| 1134216955 | John Lawrence Gililland Jr. | Obstetrics & Gynecology | 10150 S Petunia Way, Sandy, UT 84092-4318 | 2006-10-05 |
| 1407889397 | Robert Neal Taylor | Obstetrics & Gynecology | 30 N 1900 E Rm 2a242, Salt Lake City, UT 84132-3006 | 2006-07-07 |
| 1992764278 | Jason D Parker | Obstetrics & Gynecology | 1446 W Pleasant Grove Blvd, Pleasant Grove, UT 84062-3216 | 2006-03-23 |
| 1407815863 | William R Keye Jr. | Obstetrics & Gynecology | 675 Arapeen Dr, Salt Lake City, UT 84108-1223 | 2006-03-22 |
| 1902200710 | University of Utah Adult Services | Obstetrics & Gynecology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1164724860 | Utah Center for Reproductive Medicine | Obstetrics & Gynecology | 675 Arapeen Dr, 205, Salt Lake City, UT 84108-1223 | 2010-12-01 |
| 1063546349 | University of Utahdept of Obgyn Reproductive Endocrinology | Obstetrics & Gynecology | 50 N Medical Dr, Slc, UT 84132-0001 | 2007-03-16 |
| 1730252180 | James Rex Bryner | Obstetrics & Gynecology | 5770 S 250 E, G-45, Murray, UT 84107-8100 | 2006-11-15 |
| 1740360650 | Harry H. Hatasaka | Obstetrics & Gynecology | 30 N 1900 E # 2b-200, Salt Lake City, UT 84132-0002 | 2006-10-16 |
| Find all providers with the same taxonomy | ||||
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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.