Vance Eric Wise, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

BP20043790 Issued in TX

Practice address

6431 Fannin St
Suite MSB 2.130B
Houston, TX 77030-5389

Phone

(713) 704-1478

Fax

(713) 704-1715

NPI assigned

Jul 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Southwest Arkansas Regional Medical Center LLCGroup PAC ID 1153854260, 8 clinicians

Hot Springs Radiology Services, LTDGroup PAC ID 7719926096, 9 clinicians

Sevier County Medical CenterGroup PAC ID 5890166722, shared by 3 NPIs, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• National Park Medical Center Hospital, Hot Springs, AR, CCN 040078
• Howard Memorial Hospital Hospital, Nashville, AR, CCN 041311
• Little River Memorial Hospital Hospital, Ashdown, AR, CCN 041320
• Southwest Regional Medical Center LLC Hospital, Hope, AR, CCN 041335
• Sevier County Medical Center Hospital, De Queen, AR, CCN 041333

Merit-based Incentive Payment System (MIPS)

Final score

89.56 of 100Reported as group

Quality

100

Improvement activities

40

Cost

65.19

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Oncology Partners PA

  • Hematology & Oncology Physician
  • Columbus, OH
  • NPI 1265929723

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• Hot Springs Radiology Services, LTD

  • Specialist
  • Hot Springs, AR
  • NPI 1003806258
  Medicare reassignment Care Compare group NPD
• Southwest Arkansas Regional Medical Center, LLC

  • Critical Access Hospital
  • Hope, AR
  • NPI 1164234308
  Medicare reassignment Care Compare group NPD
• Sevier County Medical Center

  • Body Imaging Physician
  • De Queen, AR
  • NPI 1265114797

  Diagnostic Radiology

  Medicare reassignment NPD
• Sevier County Medical Center

  • Critical Access Hospital
  • De Queen, AR
  • NPI 1386367506
  Medicare reassignment NPD
• Sevier County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • De Queen, AR
  • NPI 1750099800
  Medicare reassignment NPD
• Southwest Arkansas Regional Medical Center, LLC

  • Critical Access Hospital Clinic/Center
  • Hope, AR
  • NPI 1871446740
  Medicare reassignment
• Btdi JV LLP

  • Physiological Laboratory
  • Dallas, TX
  • NPI 1932547361
  NPD
• Southwest Arkansas Regional Medical Center, LLC

  • General Acute Care Hospital
  • Hope, AR
  • NPI 1043043524
  NPD
• Touchstone Imaging of Hot Springs, LLC

  • Physiological Laboratory
  • Hot Springs, AR
  • NPI 1053353441
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hot Springs National Park Hospital Holdings LLC

  • General Acute Care Hospital
  • Hot Springs, AR
  • NPI 1841241833
  Care Compare affiliation
• Howard Memorial Hospital

  • Critical Access Hospital
  • Nashville, AR
  • NPI 1851484695
  Care Compare affiliation
• Little River Medical Center, Inc.

  • Critical Access Hospital
  • Ashdown, AR
  • NPI 1326040007
  Care Compare affiliation
• Sevier County Medical Center

  • Critical Access Hospital
  • De Queen, AR
  • NPI 1386367506
  Care Compare affiliation
• Southwest Arkansas Regional Medical Center, LLC

  • Critical Access Hospital
  • Hope, AR
  • NPI 1164234308
  Care Compare affiliation

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1114214384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "SUITE MSB 2.130B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305389",
            "telephone_number": "713-704-1478",
            "fax_number": "713-704-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "SUITE MSB 2.130B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305389",
            "telephone_number": "713-704-1478",
            "fax_number": "713-704-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "VANCE",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "BP20043790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wise Dermatology, PLLC
• Ashlea Wise
• Elsa Mancera Wise, PA-C
• Tanya Saucier Wise, OT
• Tesa Marie Wise
• Gwendolyn Martens Wiseman, M.S., CCC-SLP
• India Nicole Wiseman
• Juliet Wiseman
• Katherine Wiser, LSA, CST/CSFA
• Wishing Well Centers for Rehabilitation, LLC

• Diagnostic Radiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.