MR. RUSSELL J WISE (NPI# 1750313375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750313375 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL J WISE |
| Credential | FNP |
| Practice Address |
2007 S Zapata Hwy Laredo TX 78046-6510 |
| Practice Telephone | 9567958101 |
| Practice Fax Number | 9567958195 |
| Mailing Telephone | 9567958101 |
| Mailing Fax Number | 9567958195 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2012-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 633018 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 157631601 | 05 | |
| TX | CSHCN | 157631602 | 01 |
| TX | 092953101 | 05 | |
| TX | 081896501 | 05 |
| Street Address |
2007 S ZAPATA HWY |
| City | LAREDO |
| State | TX |
| Zip Code | 78046-6510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720026446 | Gateway Community Health Center, Inc | Clinic/Center | 2007 S Zapata Hwy, Laredo, TX 78046-6510 | 2006-06-03 |
| 1831729755 | Daniela Gonzalez | Counselor | 2007 S Zapata Hwy, Laredo, TX 78046-6510 | 2020-01-20 |
| 1457906661 | Tamara Mitzu Ortiz Ulloa | Dentist | 2007 S Zapata Hwy, Laredo, TX 78046-6510 | 2019-08-05 |
| 1154590610 | Gateway Community Health Center, Inc. | Clinic/Center | 2007 S Zapata Hwy, Laredo, TX 78046-6510 | 2008-02-28 |
| 1164632659 | Gateway Community Health Center | Clinic/Center | 2007 S Zapata Hwy, Laredo, TX 78046-6510 | 2007-05-23 |
| 1184700205 | Gateway Community Health Center, Inc. | Pharmacy | 2007 S Zapata Hwy, Laredo, TX 78046-6510 | 2006-10-31 |
| 1396820395 | Amparo Luisa Compt0n | Pharmacist | 2007 S Zapata Hwy, Laredo, TX 78046-6510 | 2006-10-26 |
| 1508880956 | Gateway Community Health Center Centro Communitario El Cenizo | Clinic/Center | 2007 S Zapata Hwy, Laredo, TX 78046-6510 | 2006-07-27 |
| 1417971862 | Gateway Community Health Center, Inc. Quad City | Clinic/Center | 2007 S Zapata Hwy, Laredo, TX 78046-6510 | 2006-07-27 |
| 1306869896 | Gateway Community Health Center, Inc. El Cenizo | Clinic/Center | 2007 S Zapata Hwy, Laredo, TX 78046-6510 | 2006-07-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023560 | Mauricio Martinez Jr. | Pharmacist | 4401 Us 83, Laredo, TX 78046 | 2020-11-03 |
| 1457904393 | Isael Claudio | Occupational Therapy Assistant | 305 Ne Loop 820; Business Tower 1; Suite 200, Hurst, TX 78046 | 2019-07-19 |
| 1427531573 | Candi M Rossel Home Health Services | Technician | 2412 Sabana, Laredo, TX 78046 | 2018-09-13 |
| 1699291492 | Maria Alicia De Santos | Counselor | 3514 Pecan Street, Laredo, TX 78046 | 2017-08-14 |
| 1851842900 | Carlos J. Romero D.d.s. and Assocaites P.l.l.c | Dentist | 3120 La Pita Mangana Road Suite #200, Laredo, TX 78046 | 2016-10-24 |
| 1972941904 | Asif Ali | Pain Medicine | 2110 Lomas Del Sur Ste 111, Laredo, TX 78046 | 2013-06-12 |
| 1205004496 | Willow Services Inc. Dba Las Flores Adult Day Care | Clinic/Center | 2502 E Travis, Laredo, TX 78046 | 2008-02-11 |
| 1336343052 | Falcon Lake Rehab Services | Clinic/Center | 4205 Bob Bullock Loop 20, Laredo, TX 78046 | 2007-06-14 |
| 1497956619 | Santos Pt Service | Clinic/Center | 4205 Bobbullock Hwy Loop 20, Ste 14, Laredo, TX 78046 | 2007-05-29 |
| 1124119722 | Salud Home Health Inc. | Nursing Care | 2920 S Malinche Ave, Laredo, TX 78046 | 2006-09-27 |
| Find all providers in zip 78046 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700433125 | Elena Reyna | Nurse Practitioner | 1710 E Saunders St Ste A140, Laredo, TX 78041-5447 | 2019-08-20 |
| 1427548130 | Chantilly Mae Comahig Demasiado | Nurse Practitioner | 6801 Mcpherson Rd Ste 330, Laredo, TX 78041-6417 | 2018-05-17 |
| 1942720461 | Jacqueline Valdez | Nurse Practitioner | 2813 Mario Puzo Dr, Laredo, TX 78041-2094 | 2017-06-26 |
| 1831544808 | Gabriel Castilleja | Nurse Practitioner | 1710 E Saunders St Fl B5, Laredo, TX 78041-5443 | 2016-04-27 |
| 1144689639 | Jose Luis Milera Jr. | Nurse Practitioner | 8111 Estate Dr, Laredo, TX 78045-8130 | 2016-02-12 |
| 1760810634 | Melissa Garcia | Nurse Practitioner | 1220 San Agustin Ave, Laredo, TX 78040 | 2013-10-31 |
| 1093153462 | Felipe D Vaquera | Nurse Practitioner | 1710 E Saunders St Tower B 5th Floor, Laredo, TX 78041-5443 | 2013-06-07 |
| 1558685404 | Javier Gabriel Reyna | Nurse Practitioner | 6801 Mcpherson Rd Ste 213, Laredo, TX 78041-6443 | 2010-03-22 |
| 1225216146 | Alejandro Madrigal | Nurse Practitioner | 10201 Mcpherson Rd Ste 300, Laredo, TX 78045-6880 | 2008-02-01 |
| 1033761515 | Erica Gisela Nava | Nurse Practitioner | 7215 Mcpherson Rd, Laredo, TX 78041-6554 | 2019-07-15 |
| Find all providers in LAREDO | ||||
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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.