JONATHAN K WISE (NPI# 1932186483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932186483 |
| Entity Type | Individual |
| Full Name | JONATHAN K WISE |
| Credential | MD |
| Practice Address |
3901 Houma Blvd Ste 103 Metairie LA 70006-2930 |
| Mailing Address |
3901 Houma Blvd Suite 103 Metairie LA 70006-2930 |
| Practice Telephone | 5044551300 |
| Practice Fax Number | 5047800333 |
| Mailing Telephone | 5044551300 |
| Mailing Fax Number | 5047800333 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2010-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
07110 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1361259 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346613437 | Jonathan Birchler Wise | Specialist/Technologist | 1025 E 7th St Rm C200, Bloomington, IN 47405-7109 | 2015-11-11 |
| 1235436031 | Jonathan Solomon Wise | Speech-Language Pathologist | 360 Central Ave Apt 228, Lawrence, NY 11559-1695 | 2011-02-15 |
| 1942446497 | Jonathan Craig Wise | Chiropractor | 17941 Us Highway 441, Mount Dora, FL 32757-6717 | 2009-01-05 |
| 1558562637 | Jonathan William Wise | Chiropractor | 5875 S Rainbow Blvd, Las Vegas, NV 89118-2554 | 2007-05-29 |
| 1588629794 | Jonathan F Wise | Specialist | 3816 Hollywood Blvd, Suite 101, Hollywood, FL 33021-6750 | 2006-04-19 |
| Street Address |
3901 HOUMA BLVD STE 103 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014131 | Century 2 Therapy Division Street Center, LLC | Rehabilitation Practitioner | 3901 Houma Blvd, Ste 113, Metairie, LA 70006-2930 | 2005-06-23 |
| 1942741848 | Berry's Community Services | Community/Behavioral Health | 3901 Houma Blvd, Metairie, LA 70006-2930 | 2017-03-13 |
| 1609312982 | Berrys Behavioral Health | Community/Behavioral Health | 3901 Houma Blvd, Ste 400, Metairie, LA 70006-2930 | 2017-01-11 |
| 1487040978 | Carol N. Fontenot Lcsw LLC | Social Worker | 3901 Houma Blvd, Suite 305, Metairie, LA 70006-2930 | 2015-04-10 |
| 1710253836 | John G. Fasick Dpm LLC | Podiatrist | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2012-03-23 |
| 1891069118 | Daniel J Trahant, Md (apmc) | Psychiatry & Neurology | 3901 Houma Blvd, Suite 305, Metairie, LA 70006-2930 | 2012-03-05 |
| 1760766489 | Advanced Foot and Ankle Center LLC | Podiatrist | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2011-09-29 |
| 1538449772 | Tara S Rice | Nurse Practitioner | 3901 Houma Blvd, Ste. 202, Metairie, LA 70006-2930 | 2011-08-19 |
| 1598082083 | William Mark Caldwell | General Practice | 3901 Houma Blvd, #510, Metairie, LA 70006 | 2010-04-23 |
| 1821327651 | Metairie Health Center Inc | Family Medicine | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2009-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1265489603 | Susana Laura Dipp | Internal Medicine | 1804 Persimmon Ave, Metairie, LA 70001-2345 | 2006-05-30 |
| 1306807771 | Escipion Pedroza | Internal Medicine | 4213 Saxon St, Suite 200, Metairie, LA 70006-4187 | 2006-03-28 |
| 1013030238 | Michelle Genet | Internal Medicine | 4901 Veterans Memorial Blvd, Metairie, LA 70006-5210 | 2007-04-10 |
| 1235226101 | Joseph E Murray | Internal Medicine | 3901 Houma Blvd, Ste 103, Metairie, LA 70006-2930 | 2006-10-10 |
| 1720195712 | Escipion Pedroza | Internal Medicine | 4213 Saxon St, Suite 200, Metairie, LA 70006-4187 | 2006-08-24 |
| 1104840404 | Miguel Pablo Rivera | Internal Medicine | 3939 Houma Blvd, Suite 216, Metairie, LA 70006-6673 | 2006-07-27 |
| 1326009747 | Escipion Pedroza | Internal Medicine | 4213 Saxon St, Suite 200, Metairie, LA 70006-4187 | 2006-03-28 |
| 1841278256 | Diabetes & Metabolism Assoc Aanc | Internal Medicine | 3901 Houma Blvd, Ste 103, Metairie, LA 70006-2930 | 2006-01-05 |
| 1750369161 | Tuan-huy Vu Tran | Internal Medicine | 3901 Houma Blvd, Suite 103, Metairie, LA 70006-2930 | 2006-01-05 |
| 1801874458 | Diabetes & Metabolism Assoc Apmc | Internal Medicine | 3901 Houma Blvd, Suite 103, Metairie, LA 70006-2930 | 2006-01-04 |
| Find all providers in METAIRIE | ||||
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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.