MATTHEW K WISE (NPI# 1497798714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497798714 |
| Entity Type | Individual |
| Full Name | MATTHEW K WISE |
| Credential | MD |
| Practice Address |
1501 S Yale St Bldg 2 Suite 150 Flagstaff AZ 86001-7304 |
| Practice Telephone | 9285274325 |
| Practice Fax Number | 9285274327 |
| Mailing Telephone | 9285274325 |
| Mailing Fax Number | 9285274327 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | AA4327 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BW5005067 | 01 | |
| AK | MD8586 | 05 | |
| AZ | DEA | BW5005067 | 01 |
| AZ | 840513 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477600641 | Matthew John Wise | Chiropractor | 190 Spring Dr, Saint Charles, MO 63303-3255 | 2007-01-03 |
| 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 |
| Street Address |
1501 S YALE ST BLDG 2 SUITE 150 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-7304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811068 | Christine Crowder | General Practice | 1501 S Yale St, Bldg 2 Suite 150, Flagstaff, AZ 86001-7304 | 2005-06-16 |
| 1669911764 | North Country Healthcare, Inc. | Pediatrics | 1501 S Yale St, Ste 252, Flagstaff, AZ 86001-7304 | 2017-02-22 |
| 1174074991 | Elysia Small | Physician Assistant | 1501 S Yale St, Building 2 Suite 150, Flagstaff, AZ 86001-7304 | 2016-10-17 |
| 1578910295 | Munderloh Medical LLC | Chiropractor | 1501 S Yale St, 250, Flagstaff, AZ 86001-7304 | 2016-05-23 |
| 1518309350 | Jeremy K Burdick | Nurse Practitioner | 1501 S Yale St, 252, Flagstaff, AZ 86001-7304 | 2013-07-22 |
| 1326393927 | Proforma Health Pllc | Chiropractor | 1501 S Yale St, Suite 250, Flagstaff, AZ 86001-7304 | 2012-07-19 |
| 1235371493 | Travis Clark Stiegler | Psychiatry & Neurology | 1501 S Yale St, Ste 250, Flagstaff, AZ 86001-7304 | 2009-04-01 |
| 1891825022 | Michelle Doroz | Family Medicine | 1501 S Yale St, Bldg 2 Suite 150, Flagstaff, AZ 86001-7304 | 2007-03-06 |
| 1417082553 | Theresa Dowell | Physical Therapist | 1501 S Yale St, Ste# 252, Flagstaff, AZ 86001-7304 | 2007-02-22 |
| 1447397336 | Retail Automation Usa LLC | Chiropractor | 1501 S Yale St, Suite 250, Flagstaff, AZ 86001-7304 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083364 | Austin Grace | Family Medicine | 1501 S Yale St Ste 150, Flagstaff, AZ 86001-7337 | 2017-10-06 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1699128348 | Michael Seby | Family Medicine | 1178 N Wakonda St, Flagstaff, AZ 86004-7893 | 2016-07-18 |
| 1619345675 | North Country Healthcare, Inc. | Family Medicine | 1120 West University Avenue, Suite 101, Flagstaff, AZ 86001-3630 | 2015-09-08 |
| 1003222951 | North Country Healthcare-ponderosa Hs | Family Medicine | 2384 N Steves Blvd, Flagstaff, AZ 86004-6105 | 2014-07-10 |
| 1013272988 | Patti Mugo | Family Medicine | 1120 W University Ave Ste 101, Flagstaff, AZ 86001-2851 | 2012-07-06 |
| 1336407774 | Andrew Robert Larson | Family Medicine | 801 E Hilltop Ave, Flagstaff, AZ 86001-4738 | 2012-04-23 |
| 1992938088 | Aero Vista Inc | Family Medicine | 611 N Leroux St Ste 100, Flagstaff, AZ 86001-3267 | 2009-08-24 |
| 1386872315 | Carmen F. Alfonso | Family Medicine | 521 W Deanna Dr, Flagstaff, AZ 86001-3057 | 2009-06-29 |
| 1144454117 | Charles Dennis Bendixen | Family Medicine | 1955 N Meteor Dr, Flagstaff, AZ 86001-1144 | 2009-05-06 |
| Find all providers in FLAGSTAFF | ||||
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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.