Henry E Wiley III MD PA

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

HENRY E WILEY III MD PA

Practice address

1425 S Howard Ave
Tampa, FL 33606-3126

Phone

(813) 253-2635

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Henry E Wiley III, MD

Title

President

Phone

(813) 253-2635

Specialties & licenses 1

Addresses

Other names 1

• Henry E Wiley III MD PA Former legal business name

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1154519767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063126",
            "telephone_number": "813-253-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063126",
            "telephone_number": "813-253-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY E WILEY III MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-253-2635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry E Wiley III MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eliana Henriquez
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• Henry a Redmon, M.D., P.a.
• Henry Fate Corporation
• Henry J O'Neal, M.D.,P.a.
• Acquanetta Marie Henry, D.P.T
• Amelia Henry
• Andrew Dave Henry, MD

• Dermatopathology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Dermatopathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.