ERIC WISE (NPI# 1487917704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487917704 |
| Entity Type | Individual |
| Full Name | ERIC WISE |
| Credential | MD |
| Practice Address |
1365 Broadway Bangor ME 04401-2401 |
| Mailing Address |
30 Spruce St Apt 2 Bangor ME 04401-5518 |
| Practice Telephone | 2079426226 |
| Mailing Telephone | (610) 334-2595 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD21551 | ME | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT201286 | PA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3471 5th Ave, Suite 910, Pittsburgh, PA 152133215 | 4126924503 | 4126924515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114093366 | Eric Richard Wise | Chiropractor | 1530 Jamacha Rd, Suite B1, El Cajon, CA 92019-3700 | 2006-11-28 |
| 1750841177 | Eric Wise | Occupational Therapist | 5901 Nw 79th Ave, Tamarac, FL 33321-4639 | 2019-03-21 |
| 1518252857 | Eric Stephen Wise | Surgery | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2011-06-15 |
| 1912224841 | Eric Lee Wise | Internal Medicine | 4990 W Clark Rd, Suite 300, Ypsilanti, MI 48197-1149 | 2010-05-03 |
| Street Address |
1365 BROADWAY |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043207 | William Benjamin Zolper | Anesthesiology | 1365 Broadway, Bangor, ME 04401-2401 | 2005-09-16 |
| 1750818365 | Michelle Elizabeth Varney Slike | Physical Therapist | 1365 Broadway, Bangor, ME 04401 | 2017-05-12 |
| 1205370772 | Julie Annette Normand | Physical Therapist | 1365 Broadway, Bangor, ME 04401-2401 | 2016-12-18 |
| 1922426790 | Sandra Jeanne Britton | Nurse Practitioner | 1365 Broadway, Bangor, ME 04401-2401 | 2014-03-31 |
| 1407143134 | Nicholas Boissoneault | Physical Therapist | 1365 Broadway, Bangor, ME 04401-2401 | 2011-07-01 |
| 1841444767 | Joyce E Niles | Nurse Practitioner | 1365 Broadway, Bangor, ME 04401-2401 | 2008-11-05 |
| 1780849398 | Giselle L Robertson | Nurse Practitioner | 1365 Broadway, Bangor, ME 04401-2401 | 2008-07-23 |
| 1053581058 | Frederick Craig Littlejohn | Anesthesiology | 1365 Broadway, Bangor, ME 04401-2401 | 2008-03-05 |
| 1457421943 | Absolute Physical Therapy | Physical Therapist | 1365 Broadway, Bangor, ME 04401-2401 | 2006-11-09 |
| 1497766398 | Lindsay M Duplisea-white | Specialist | 1365 Broadway, Bangor, ME 04401-2401 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063607422 | Acadia Medical Arts Pain Management LLC | Anesthesiology | 404 State St Ste 300, Bangor, ME 04401-6623 | 2007-09-10 |
| 1427043207 | William Benjamin Zolper | Anesthesiology | 1365 Broadway, Bangor, ME 04401-2401 | 2005-09-16 |
| 1053581058 | Frederick Craig Littlejohn | Anesthesiology | 1365 Broadway, Bangor, ME 04401-2401 | 2008-03-05 |
| 1508809492 | Peter W Thompson | Anesthesiology | 1365 Broadway, Bangor, ME 04401-2401 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871612424 | W Thomas Dunn Jr. | Anesthesiology | 24 N Auburn Rd, Auburn, ME 04210-8710 | 2007-03-28 |
| 1144312778 | Peter W Just | Anesthesiology | 50 Union St, Suite 3100, Ellsworth, ME 04605-1534 | 2006-09-29 |
| 1073763488 | Karl Saba | Anesthesiology | 77 Bates St, Ste. 101, Lewiston, ME 04240-7637 | 2008-09-22 |
| 1235391152 | Peter W. Just, Md Pa | Anesthesiology | 50 Union St, Suite 3100, Ellsworth, ME 04605-1586 | 2008-07-01 |
| 1881689065 | Muhammad A Khan | Anesthesiology | 25a June St, Sanford, ME 04073-2642 | 2005-09-14 |
| 1801881362 | Leonid I Temkin | Anesthesiology | 25a June St, Sanford, ME 04073-2642 | 2005-09-12 |
Please comment or provide details below to improve the information on ERIC 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.