Russell Wise (NPI# 1750313375, PAC ID# 1759669443) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750313375 |
| PAC ID by PECOS | 1759669443 |
| Professional Enrollment ID | I20161101000464 |
| Full Name | Russell Wise |
| Organization Legal Name | TIMBERLAND MEDICAL GROUP |
| Address |
4415 Us Hwy 83 100 Laredo Care Clinic Laredo TX 78046 |
| Phone Number | 9567245525 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719875491 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4415 Us Hwy 83 100, Laredo Care Clinic, Laredo, TX 78046 | 9567245525 | TIMBERLAND MEDICAL GROUP |
| Organization Legal Name | TIMBERLAND MEDICAL GROUP |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellyn Rielly | Obstetrics/gynecology | Timberland Medical Group | 6056, Spring, TX 77379-2542 |
| Margarito Benitez | Nurse Practitioner | Timberland Medical Group | 801 N Us Hwy 83, Zapata, TX 78076-3290 |
| Timothy Joe Hillbrick | Family Medicine | Timberland Medical Group | 651 N Hwy 183, Suite 110, Leander, TX 78641-7002 |
| Mamatha Bollineni | Internal Medicine | Timberland Medical Group | 11521 Fm 620, Suite C800, Austin, TX 78726-1139 |
| James B Hurlburt | Family Medicine | Timberland Medical Group | 450 Cypress Creek Rd, Bldg 5, Cedar Park, TX 78613-4194 |
| Elizabeth Sandra Neal | Family Medicine | Timberland Medical Group | 7708 Lohmans Ford Rd, Bldg A, Lago Vista, TX 78645-4781 |
| Ronald Clay Mcgaugh Jr. | Family Medicine | Timberland Medical Group | 15004 Avery Ranch Blvd, Suite 105, Austin, TX 78717-4973 |
| Jean Paicurich Cole | Obstetrics/gynecology | Timberland Medical Group | 1401 B Medical Pkwy, Suite 419, Cedar Park, TX 78613-7464 |
| Walter L Chesshir Iii | Family Medicine | Timberland Medical Group | 1211 E 6th St, Suite 150, Bonham, TX 75418-4072 |
| Hailey Watson | Nurse Practitioner | Timberland Medical Group | 1211 E 6th St, Suite 150, Bonham, TX 75418-4072 |
| Street Address |
4415 US HWY 83 100 LAREDO CARE CLINIC |
| City | LAREDO |
| State | TX |
| Zip | 78046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra H Rodriguez | Nurse Practitioner | South Laredo Health Care Clinic | 2110 Lomas Del Sur, Suite 103, Laredo, TX 78046-5755 |
| Hector E Garcia | Nurse Practitioner | South Laredo Health Care Clinic | 2110 Lomas Del Sur, Suite 103, Laredo, TX 78046-5755 |
| Teresa Irizarry Quiles | Family Medicine | Regional Employee Assistance Program Inc | 4415 S Zapata Hwy, Suite 100, Laredo, TX 78046-8679 |
| City | LAREDO |
| Zip Code | 78046 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAREDO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Russell Wise.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.