DR. DAVID S. WISE (NPI# 1780627414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780627414 |
Entity Type | Individual |
Full Name | DR. DAVID S. WISE |
Credential | M.D. |
Practice Address |
11606 Mill Rock Rd San Antonio TX 78230-2762 |
Mailing Address |
Po Box 460625 San Antonio TX 78246-0625 |
Practice Telephone | 2102585009 |
Practice Fax Number | 2103689440 |
Mailing Telephone | 2102585009 |
Mailing Fax Number | 2103689440 |
Enumeration Date | 2006-06-13 |
Last Update Date | 2016-11-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MDH8963 | TX | Allopathic & Osteopathic Physicians |
N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
H8963 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 113351401 | 05 | |
TX | RAILROAD MEDICARE NUMBER | 060050641 | 01 |
TX | BLUE CROSS ID NUMBER | 0063CN | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043675515 | David Wise | Registered Nurse | 728 Wisconsin St, Lake Geneva, WI 53147-1826 | 2015-12-28 |
1265669212 | David Wise | Psychologist | 12470 Fiori Lane, Sebastopol, CA 95472 | 2009-06-17 |
1730671009 | David Wise | Massage Therapist | 421 W Mendenhall St, Bozeman, MT 59715-3448 | 2018-06-03 |
1679085880 | David M Wise | Hearing Instrument Specialist | 1819 Harding Hwy, Lima, OH 45804-3466 | 2017-10-27 |
1336438258 | David R Wise | Internal Medicine | 160 E 34th St, New York, NY 10016-4744 | 2011-03-31 |
1518261031 | David Jonathan Wise | Social Worker | 28 Beechwood Rd, Summit, NJ 07901-2532 | 2010-12-23 |
1295999126 | David Michael Wise | Dentist | 1598 Marion Mount Gilead Rd, Marion, OH 43302-5820 | 2008-07-10 |
1073631297 | David Andrew Wise | Radiology | 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 | 2007-03-26 |
1134259849 | David Leo Wise | Family Medicine | 115 S 15th Ave, Pocatello, ID 83201-4068 | 2007-03-06 |
1417029083 | David Dale Wise | Physical Therapist | 4900 S Monaco St, Suite 210, Denver, CO 80237-3486 | 2006-11-15 |
Street Address |
11606 MILL ROCK RD |
City | SAN ANTONIO |
State | TX |
Zip Code | 78230-2762 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376085282 | Dr David S Wise Pa | Point of Service | 11606 Mill Rock Rd, San Antonio, TX 78230-2762 | 2016-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
Find all providers in zip 78230 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184098279 | Heart Endovascular and Rhythm of Texas, Pa | Internal Medicine | 1202 E Sonterra Blvd Ste 604, San Antonio, TX 78258-4093 | 2015-11-30 |
1780058040 | Advanced Cardiac Imaging Solutions, Pllc | Internal Medicine | 13423 Blanco Road #437, San Antonio, TX 78216 | 2015-11-23 |
1215329602 | Ricardo A Garza Md Pllc | Internal Medicine | 6800 W Ih 10 West, Suite 110, San Antonio, TX 78201-2039 | 2015-02-23 |
1003205873 | Heart and Rhythm Institute of South Texas, Pa | Internal Medicine | 8122 Datapoint Dr Ste 120, San Antonio, TX 78229-3264 | 2015-01-16 |
1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
1326342015 | B.s.athreya,m.d.,p.a.& Associates | Internal Medicine | 215 E Quincy St Ste 430, San Antonio, TX 78215-2034 | 2011-01-10 |
1093034654 | South Texas Cardiology Institute, Pllc | Internal Medicine | 6800 Ih 10 W Ste 200, San Antonio, TX 78201-2041 | 2010-05-21 |
1164604294 | Chun Wang Tan Md Pa | Internal Medicine | 323 W Mulberry Ave, San Antonio, TX 78212-3236 | 2007-11-30 |
1851573844 | Rushit R. Kanakia | Internal Medicine | 1715 Mccullough Ave Fl 2, San Antonio, TX 78212-4046 | 2007-11-30 |
1336337880 | R. Stefan Kiesz M.d. P.a. | Internal Medicine | 18615 Tuscan Stone, Suite 170, San Antonio, TX 78258-3498 | 2007-10-10 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78230 |
Please comment or provide details below to improve the information on DR. DAVID S. 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.