TARA E WISE


Address: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438
Phone: 3157723380

TARA E WISE (NPI# 1851675219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851675219
Entity Type Individual
Full Name TARA E WISE
Credential M.S., O.T.R./L
Practice Address 11050 Mount Belvedere Blvd
Fort Drum
NY 13602-5438
Practice Telephone 3157723380
Mailing Telephone 3157723380
Enumeration Date 2011-10-04
Last Update Date 2011-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider 016540-1 NY Other Service Providers

Other Providers TARA WISE

NPI Name Taxonomy Address Enumeration
1003241662 Tara Lynn Wise Physical Therapist 347 N Oak St, Mount Carmel, PA 17851-1427 2013-09-13
1972131100 Tara Jean Wise Social Worker 1 Eaton Pl, Worcester, MA 01608-1232 2020-04-01
1104099159 Tara L Wise Case Manager/Care Coordinator 1145 Sagamore Ave, Portsmouth, NH 03801-5503 2008-04-10

Office Location

Street Address 11050 MOUNT BELVEDERE BLVD
City FORT DRUM
State NY
Zip Code 13602-5438

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760471932 Randall Alan Bischoff Physician Assistant 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 2005-10-19
1619582657 Tarah Schmidt Student in an Organized Health Care Education/Training Program 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 2020-09-15
1538778832 Daniel L Dettman Physical Therapist 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 2020-07-23
1942836978 Christie Hurst Licensed Practical Nurse 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 2020-03-21
1679033112 Taylor Nichole Singer Psychologist 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 2019-03-21
1134692361 Drew Curtis Evans Physician Assistant 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 2019-01-10
1457834814 Timothy Karnuth Physician Assistant 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 2018-09-12
1598248262 Oscar Alfredo Garzon Student in an Organized Health Care Education/Training Program 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 2018-09-10
1912484684 Jacob Papenfuss Physical Therapist 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 2018-07-25
1285124644 Marjorie A Evans Physician Assistant 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 2018-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235697590 Joshua Lee Hickman Physician Assistant Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 2019-03-06
1447721345 Lisa Marie Lewis Social Worker 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 2018-12-17
1720555253 Elizabeth M Hover Social Worker P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 2018-11-02
1376037424 Phillip Dakotah Mitchell Physician Assistant 10020 Euphrates River Valley Road, Fort Drum, NY 13602 2018-06-20
1063902666 Guthrie Ahc Clinic/Center P19914 M3r Tampa, Fort Drum, NY 13602 2018-05-18
1255846879 Morgan Elizabeth Callari Dental Hygienist 10205 S Riva Ridge Loop, Fort Drum, NY 13602 2017-12-05
1609389097 John Charles Bockmann Physician Assistant Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 2017-11-08
1902318207 Nicholas Andrew Jones Military Health Care Provider 10506 S. Riva Ridge, Fort Drum, NY 13602 2017-10-26
1508389198 Richard Scott Christiansen Physical Therapist 10330 S Riva Ridge Loop, Fort Drum, NY 13602 2017-07-25
1811418098 Emer B Bajuelos Dentist Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 2017-06-28
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Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265915391 Bryan Dylan Wheeler Military Health Care Provider Us Army, Ctmc, Fort Drum, NY 13603 2018-09-14
1902318207 Nicholas Andrew Jones Military Health Care Provider 10506 S. Riva Ridge, Fort Drum, NY 13602 2017-10-26
1144458761 Leslie Ann Milano-luongo Military Health Care Provider 11050 Mount Belvedere Blvd, Usa Meddac/credentials, Fort Drum, NY 13602-5438 2009-06-23
1073769626 Paul Andrew Carey Military Health Care Provider 11050 Mt Belvedere Blvd, Guthrie Orthopaedic Clinic, Fort Drum, NY 13602-5004 2008-08-14
1982685764 Mark E. Lester Military Health Care Provider 11050 Mount Belvedere Blvd, Usa Meddac/credentials, Fort Drum, NY 13602-5438 2005-11-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538710389 Denise Fay Noble Military Health Care Provider 4403 E Lake Rd, Wilson, NY 14172-9641 2019-09-24
1962912485 Patricia Parrales Military Health Care Provider 921 Fox St Ph, Bronx, NY 10459-4304 2017-10-10
1548306939 Terry Lynn Greenspan Military Health Care Provider 215 Drum Rd Rm D113, Staten Island, NY 10305-5001 2007-01-30
1568511814 Judith Andrea Holmes Military Health Care Provider 144 35 175th Street, Springfield Gardens, NY 11413 2007-01-09
1003973652 Adam H Schwinn Military Health Care Provider 29 Mclaughlin Way, Washingtonville, NY 10992-1151 2007-01-02
1447322987 Amado Sanchez Santos Military Health Care Provider 100 S Clinton St, Syracuse, NY 13261-6100 2006-11-13
1568995298 Abraham Choi Military Health Care Provider 1 West Ave Ste 230, Saratoga Springs, NY 12866-6050 2017-04-10
1457745242 Daniel Joseph Finnin Military Health Care Provider 1 West Ave, Suite 230, Saratoga Springs, NY 12866-6045 2015-03-19
1417134016 Shane Daniel Benson Military Health Care Provider 215 Drum Rd, Staten Island, NY 10305-5001 2008-01-25
1942345905 Roy M Mesenscott Military Health Care Provider 215 Drum Rd, Rm D 113, Staten Island, NY 10305-5001 2007-02-20
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Competitor

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City FORT DRUM
Zip Code 13602

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Dataset Information

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.

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