Richard G Wise DO Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

34003728 Issued in OH

Legal business name

RICHARD G WISE DO INC

Practice address

11 Sycamore Drive
New Middletown, OH 44442

Phone

(330) 542-2881

Fax

(330) 542-0074

NPI assigned

Oct 30, 2007

Last updated

Nov 8, 2007By 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

Richard G Wise, D.O.NPI 1386610236

Title

President

Phone

(330) 542-2881

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Richard G Wise, D.O.

  • Family Medicine Physician
  • New Middletown, OH
  • NPI 1386610236
  Authorized official Same address or phone

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1164601746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "444420272",
            "telephone_number": "330-542-2881",
            "fax_number": "330-542-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SYCAMORE DRIVE",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "44442",
            "telephone_number": "330-542-2881",
            "fax_number": "330-542-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G WISE DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-542-2881",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "34003728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in New Middletown, OH
• Providers in New Middletown, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.