Wise Obstetrics & Gynecology PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WISE OBSTETRICS & GYNECOLOGY PA

Practice address

2451 S FM 51
Suite 300
Decatur, TX 76234-3858

Phone

(940) 626-8008

Fax

(940) 627-4709

NPI assigned

Apr 24, 2006

Last updated

Jun 6, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Renee C Smith, MDNPI 1255397394

Title

President

Phone

(940) 626-8008

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renee C Smith

  • Obstetrics & Gynecology Physician
  • Decatur, TX
  • NPI 1255397394
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Hailey Morton, NP-C

  • Family Nurse Practitioner
  • Boyd, TX
  • NPI 1003269580
  Medicare reassignment Care Compare group NPD
• Heather Nicole Stark, FNP-C

  • Family Nurse Practitioner
  • Decatur, TX
  • NPI 1023748241
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1033175609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 S FM 51",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343858",
            "telephone_number": "940-626-8008",
            "fax_number": "940-627-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 S FM 51",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343858",
            "telephone_number": "940-626-8008",
            "fax_number": "940-627-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE OBSTETRICS & GYNECOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-626-8008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0010KP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162805901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wise County Emergency Medical Services
• Wise County Health Services (Wise Choice Medical)
• Wise County Medical & Surgical Association
• Wise County Medical & Surgical Association
• Wise Emergency Medicine Associates PA
• Wise Pathology Associates P.a.
• Wise Pathology Laboratories LLC (Wise Pathology Laboratories)
• Wise Pediatrics PA
• Wise Performance Physical Therapy Limited Partnership
• Wise Performance Physical Therapy Limited Partnership

• Obstetrics & Gynecology Physician in Decatur, TX
• Providers in Decatur, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.