WILLIAM S WISE (NPI# 1669453700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669453700 |
| Entity Type | Individual |
| Full Name | WILLIAM S WISE |
| Credential | MD |
| Practice Address |
235 N Pearl St Attn: Pathology Dept Brockton MA 02301-1794 |
| Mailing Address |
460 Totten Pond Rd C/o Mzi Waltham MA 02451-1991 |
| Practice Telephone | 5084273086 |
| Practice Fax Number | 5085880520 |
| Mailing Telephone | 7818909933 |
| Mailing Fax Number | 7818909950 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2010-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
57170 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HPHC | AA1347 | 01 |
| MA | 6182089 | 05 | |
| MA | TUFTS | 732320 | 01 |
| MA | BCBS | J03385 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588201420 | William Wise | Technician/Technologist | 410 North St, Otisville, MI 48463-9705 | 2019-12-10 |
| 1841245842 | William R. Wise | Emergency Medicine | 1121 Gatewood Circle, Shreveport, LA 71106 | 2006-05-24 |
| 1659934875 | William Wise | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137-8289 | 2019-04-15 |
| 1871077305 | William Scott Wise | Nurse Anesthetist, Certified Registered | 100 E 77th St, New York, NY 10075-1850 | 2018-09-20 |
| 1184059099 | William L Wise | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2013-09-10 |
| 1508945593 | William E Wise Jr. | Internal Medicine | 2801 Youngfield St., Suite #120, Golden, CO 80401 | 2006-11-02 |
| 1912092768 | William R. Wise | Urology | 7200 Cathedral Rock Dr., Suite 180, Las Vegas, NV 89128-0466 | 2006-10-04 |
| 1770594251 | William Edward Wise Jr. | Colon & Rectal Surgery | 500 Thomas Ln, Suite 4a, Columbus, OH 43214-1401 | 2006-08-10 |
| Street Address |
235 N PEARL ST ATTN: PATHOLOGY DEPT |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527020 | Mark S Dichter | Internal Medicine | 235 N Pearl St, Brockton, MA 02301-1794 | 2005-09-08 |
| 1811523913 | Paige Graham | Physician Assistant | 235 N Pearl St, Brockton, MA 02301-1794 | 2020-03-20 |
| 1477109627 | Nathaniel Minh Dang | Nurse Practitioner | 235 N Pearl St, Brockton, MA 02301-1794 | 2019-08-14 |
| 1457811846 | Joliane Charlotin | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2019-03-21 |
| 1437614229 | Julia Louis | Advanced Practice Midwife | 235 N Pearl St, Brockton, MA 02301-1700 | 2019-02-05 |
| 1124502497 | Guy A Fleuette | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-09-21 |
| 1114408275 | Jacqueline Gail Donahue | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-08-27 |
| 1326529652 | Christie E. Culbert | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-08-24 |
| 1316425770 | Karyn Smart-strobert | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-07-29 |
| 1982101192 | Eva Gougian | Physician Assistant | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346430436 | David Peselman | Pathology | Harvard Rehabilitation Clinic, Brockton, MA 02462 | 2007-07-26 |
| 1790089159 | Golrokh Sepehr | Pathology | 235 N Pearl St, Dept of Pathology, Brockton, MA 02301-1794 | 2010-12-28 |
| 1225288459 | Amy E Mondelblatt | Pathology | 680 Centre St, Department of Pathology, Brockton, MA 02302-3308 | 2008-09-24 |
| 1225290927 | Yuxiang Ma | Pathology | 680 Centre St, Brockton, MA 02302-3308 | 2008-06-25 |
| 1750397923 | Lana Kordunsky | Pathology | 680 Centre St, Signature Healthcare Brockton Hospital, Pathology Dpt., Brockton, MA 02302-3308 | 2006-07-31 |
| 1568492270 | Carlson Pathology Associates, PC | Pathology | 680 Centre St, Pathology Department, Brockton, MA 02302-3308 | 2006-07-05 |
| 1013944792 | Desiree A Carlson | Pathology | 680 Centre St, Pathology Department, Brockton, MA 02302-3395 | 2006-06-27 |
| 1083659726 | Jitka Persinova | Pathology | 680 Centre St, Pathology Department, Brockton, MA 02302-3308 | 2006-06-17 |
| 1457395097 | Ilene E Carlson | Pathology | 680 Centre St, Pathology Department, Brockton, MA 02302-3308 | 2006-06-15 |
| 1366486904 | Robert F Wright Jr. | Pathology | 680 Centre St, Pathology Department, Brockton, MA 02302-3308 | 2006-06-15 |
| Find all providers in BROCKTON | ||||
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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.