DR. MATTHEW JOHN WISE (NPI# 1477600641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477600641 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JOHN WISE |
| Credential | DC |
| Practice Address |
190 Spring Dr Saint Charles MO 63303-3255 |
| Mailing Address |
14324 S Outer 40 Chesterfield MO 63017-5710 |
| Practice Telephone | 6369460799 |
| Practice Fax Number | 3142051508 |
| Mailing Telephone | 3142088858 |
| Mailing Fax Number | 3142051508 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2004017456 | MO | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235107038 | Matthew Jay Wise | Obstetrics & Gynecology | 153 Pioneer Ln, Suite B, Bishop, CA 93514-2517 | 2006-03-09 |
| 1295394161 | Matthew Wise | Student in an Organized Health Care Education/Training Program | 331 Ne Thornton Pl, Seattle, WA 98125-8021 | 2019-06-13 |
| 1093075780 | Matthew Wise | Chiropractor | 2217 Carlisle Rd, York, PA 17408-4005 | 2012-05-29 |
| 1295944932 | Matthew David Wise | Pediatrics | 3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 | 2007-05-21 |
| 1295949717 | Matthew L. Wise | Psychologist | 7330 Woodmont Ave, Bethesda, MD 20814-5354 | 2007-05-10 |
| 1245251263 | Matthew Whitten Wise | Surgery | 2820 Napoleon Ave, Suite 810, New Orleans, LA 70115-6969 | 2006-07-23 |
| 1497798714 | Matthew K Wise | Family Medicine | 1501 S Yale St, Bldg 2 Suite 150, Flagstaff, AZ 86001-7304 | 2006-06-14 |
| Street Address |
190 SPRING DR |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63303-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538507579 | Brendan Schmoll | Chiropractor | 190 Spring Dr, Saint Charles, MO 63303-3255 | 2013-06-12 |
| 1710268347 | Pain Relief Associates LLC | Clinic/Center | 190 Spring Dr, Saint Charles, MO 63303-3255 | 2011-09-09 |
| 1194003996 | Sarah Rose Edwards | Physical Therapist | 190 Spring Dr, Saint Charles, MO 63303-3255 | 2011-07-27 |
| 1457521189 | Pain Relief Associates LLC | Physical Medicine & Rehabilitation | 190 Spring Dr, Saint Charles, MO 63303-3255 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487212429 | Apex Chiropractic LLC | Chiropractor | 302 S Highland St, Saint Charles, IA 50240-1519 | 2019-06-04 |
| 1891158226 | Meagen Mateialona | Chiropractor | 115 S Saginaw St Ste 4, Saint Charles, MI 48655-1452 | 2016-04-02 |
| 1235590498 | Colleen Burmeister | Chiropractor | 2025 Zumbehl Rd # 165, Saint Charles, MO 63303-2723 | 2016-03-16 |
| 1407245814 | Chelsie Lee Arnold | Chiropractor | 20 Triad South Dr, Suite A, Saint Charles, MO 63304-3507 | 2015-01-22 |
| 1174949861 | Candice Mathis | Chiropractor | 2061 Collier Corporate Pkwy, Saint Charles, MO 63303-6701 | 2014-03-05 |
| 1700221769 | Cara Washburn | Chiropractor | 914 Hemsath Rd Ste 104a, Saint Charles, MO 63303-6582 | 2013-05-03 |
| 1336583962 | The Center for Natural Health, LLC | Chiropractor | 918 Hemsath Rd Ste 102b, Saint Charles, MO 63303-5949 | 2013-04-25 |
| 1720326358 | Amy Wicks | Chiropractor | 918 Hemsath Rd, Suite 102b, Saint Charles, MO 63303-5949 | 2013-01-16 |
| 1942547062 | Glenn R. Ezell | Chiropractor | 2201 1st Capitol Dr Ste 101, Saint Charles, MO 63301-5805 | 2013-01-09 |
| 1578819645 | Healthy Solutuions | Chiropractor | 5055 Highway N Ste 105, Saint Charles, MO 63304-8031 | 2012-07-26 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63303 |
Please comment or provide details below to improve the information on DR. MATTHEW JOHN WISE.
| 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.