Dr John M Wise

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12877R Issued in LA

Legal business name

DR JOHN M WISE

Practice address

2820 Napoleon Ave
Suite 460
New Orleans, LA 70115-6969

Phone

(504) 897-5121

Fax

(504) 897-9743

NPI assigned

Feb 25, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Kellie Robichaux

Title

Office Manager

Phone

(504) 897-5121

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Melvin Wise, MD

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1477556496
  Medicare reassignment NPD

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1124488630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NAPOLEON AVE",
            "address_2": "SUITE 460",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156969",
            "telephone_number": "504-897-5121",
            "fax_number": "504-897-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NAPOLEON AVE",
            "address_2": "SUITE 460",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156969",
            "telephone_number": "504-897-5121",
            "fax_number": "504-897-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN M WISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "ROBICHAUX",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-897-5121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "12877R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1545759",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.