Wise Emergency Medicine Associates PA
Organization Active NPI Emergency Medicine Physician · Decatur, TX
NPI 1366558264 · NPPES record last updated Jul 11, 2025
Key facts
- NPI
- 1366558264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- WISE EMERGENCY MEDICINE ASSOCIATES PA
- Practice address
- 609 Medical Center Dr
Decatur, TX 76234-3836 - Phone
- (800) 893-9698
- NPI assigned
- Aug 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Raymond A Fleischer, MD
- Title
- President
- Phone
- (337) 609-1221
Practitioners 88
-
Tochi Ajiwe, MD
-
Waqas Ali, DO
-
George Yerby Alsop Jr., M.D.
-
Denise Lynn Austin, FNP
-
Mohammad Azad, M.D.
-
Anthony Ray Baca, AG-ACNP
-
Carl Caroe, MD
-
Shawn M. Corwin, MD
-
Donna Carole Covey, DNP, FNP, AGACNP
-
James W Czewski, DO
-
Kyle T Demler, DO
-
Daniel Joshua Firer, M.D.
-
Dahlia Good, NP
-
Louis Graham, FNP, ENP
-
Robert Joseph Griffith, FNP-C
-
Jeffrey Scott Grimes, NP-C
-
Wesley Harrison Hamilton, M.D.
-
Sandy Kay Harman, DNP, FNP-BC
-
An D Ho, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041213000078 | TX | Part B Supplier - Clinic/Group Practice | 2769449727 |
Receives reassigned benefits from 85 practitioners Practice locations: Decatur, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Medical Physician Assistant |
363AM0700X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
609 Medical Center Dr
Decatur, TX 76234-3836
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169786401 | Medicaid | TX |
Other providers in Decatur, TX
- Wise County Committee on Aging ,Inc.
- Wise County Emergency Medical Services
- Wise County Health Services
- Wise County Medical & Surgical Association
- Wise County Medical & Surgical Association
- Wise Obstetrics & Gynecology PA
- Wise Pathology Associates P.a.
- Wise Pathology Laboratories LLC
- Wise Pediatrics PA
- Wise Performance Physical Therapy Limited Partnership
All providers in Decatur, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.