MARY FOWLER WISE (NPI# 1831545086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831545086 |
| Entity Type | Individual |
| Full Name | MARY FOWLER WISE |
| Credential | DO |
| Practice Address |
1300 Old Weisgarber Rd Knoxville TN 37909-1291 |
| Practice Telephone | 8655842146 |
| Mailing Telephone | 8655842146 |
| Mailing Fax Number | 8653742103 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3759 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q042877 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 Primacy Pkwy, Memphis, TN 381190213 | 9014480230 | 9014480404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225419229 | Mary Wise | Speech-Language Pathologist | 1518 Sunnyview Oval, Keasbey, NJ 08832-1050 | 2015-06-15 |
| 1184047565 | Mary Beatty Wise | Nurse Practitioner | 496 Fairfield Ct, Evans, GA 30809-3641 | 2014-01-21 |
| 1487886800 | Mary Anne Wise | Massage Therapist | 3187 Rt 28, Shokan, NY 12481-0052 | 2009-08-18 |
| 1558379495 | Mary Bernadette Wise | General Practice | 7929 Ogden Ave, Lyons, IL 60534 | 2006-08-04 |
| 1649248550 | Mary Louise Wise | Psychologist | 2 E. Franklin Ave., #6, Mpls, MN 55403 | 2006-03-08 |
| 1861009227 | Mary Wise | Pharmacist | 2057 Charlie Hall Blvd Ste C, Charleston, SC 29414-6164 | 2020-09-29 |
| 1881966794 | Mary Helen Wise | Social Worker | 411 W Chapel Hill St, Suite 908, Durham, NC 27701-3616 | 2012-02-08 |
| 1740516913 | Mary C Wise | Occupational Therapist | 1335 Nw Broad St, Murfreesboro, TN 37129-4428 | 2009-10-23 |
| 1558502153 | Mary Felicia Wise | Registered Nurse | 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 | 2009-03-12 |
| 1720111768 | Mary Moore Wise | Registered Nurse | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2007-03-13 |
| Street Address |
1300 OLD WEISGARBER RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37909-1291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528066719 | Tamara Faye Davis | Family Medicine | 1300 Old Weisgarber Rd, Knoxville, TN 37909 | 2005-07-12 |
| 1700186251 | Carla Elaine Spurgeon | Registered Nurse | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2010-11-01 |
| 1831372390 | James Patrick Howell | Family Medicine | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2007-12-07 |
| 1285855981 | Rebecca Dawn Clem | Nurse Practitioner | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2007-05-01 |
| 1477649564 | Andrew Schmudde | Physician Assistant | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2006-10-05 |
| 1174619209 | Carrie Neal | Nurse Practitioner | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2006-10-05 |
| 1881636488 | Covenant Medical Group, Inc | Family Medicine | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2006-06-11 |
| 1497708739 | Jack H. Tarr | Family Medicine | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2006-05-18 |
| 1023061397 | James Stacy Hicks | Family Medicine | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2006-05-18 |
| 1548213895 | Jeffrey A. Mcmichael | Family Medicine | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687534 | Rosalie Ting Mcglashen | Behavioral Analyst | 1508 Coleman Rd., Suites 105 and 110, Knoxville, TN 37909 | 2020-01-06 |
| 1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1750757514 | Victor Brown | Counselor | 1451 Dowell Springs Blvd., Knoxville, TN 37909 | 2015-08-17 |
| 1083012488 | Melissa Wells Woodby | Marriage & Family Therapist | 6305 Lonas Dr, Knoxville, TN 37909 | 2014-12-17 |
| 1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1376971085 | Quality Health Clinic LLC | Clinic/Center | 7348 Middlebrook Pike Suite D, Knoxville, TN 37909 | 2013-10-16 |
| 1952737942 | Martirea Fostine Jenkins Pratt | Nurse Practitioner | 930 Adell Ree Park Lane, Knoxville, TN 37909 | 2013-09-23 |
| 1104259324 | Dana Michelle Sweitzer | Nurse Practitioner | 1320 Old Weisgarber Road, Knoxville, TN 37909 | 2013-08-12 |
| Find all providers in zip 37909 | ||||
| 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 |
|---|---|---|---|---|
| 1336755271 | Maryellen Tipton | Family Medicine | 1489 Touraine Pl, Knoxville, TN 37919-8278 | 2020-09-16 |
| 1114483864 | Ucfa Physicians Network Group of Tennessee | Family Medicine | 223 Hiawassee Ave, Knoxville, TN 37917-4933 | 2019-02-19 |
| 1285199109 | Summit Medical Group,pllc | Family Medicine | 280 Ft Sanders W Blvd Ste 101, Knoxville, TN 37922-3352 | 2019-02-05 |
| 1558843235 | Geneva Lynne Worthington | Family Medicine | 135 Lovell Rd, Knoxville, TN 37934-1904 | 2018-08-30 |
| 1306325816 | Muslim Community of Knoxville's Shifa Clinic | Family Medicine | 1801 Ailor Ave, Knoxville, TN 37921-5845 | 2018-08-07 |
| 1003307422 | Dakotah Asher | Family Medicine | 4629 Mill Branch Ln, Knoxville, TN 37938-3358 | 2018-05-21 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1982133559 | Morgan Spurlock | Family Medicine | 2519 Willow Point Way, Knoxville, TN 37931-3162 | 2017-06-07 |
| 1700332624 | Halls Physician Services, Pllc | Family Medicine | 7000 Maynardville Highway, Knoxville, TN 37918-5736 | 2016-08-31 |
| Find all providers in KNOXVILLE | ||||
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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.