John E. Wise MD PA

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

11979 Issued in NC

Legal business name

JOHN E. WISE MD PA

Practice address

11 13TH Ave NE
Suite 103
Hickory, NC 28601-3700

Phone

(828) 328-2094

Fax

(828) 328-8980

NPI assigned

Oct 4, 2006

Last updated

Jul 7, 2008By 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

Dr. John Edney Wise, MD

Title

President

Phone

(828) 328-2094

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1417042623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 13TH AVE NE",
            "address_2": "SUITE 103",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013700",
            "telephone_number": "828-328-2094",
            "fax_number": "828-328-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 13TH AVE NE",
            "address_2": "SUITE 103",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013700",
            "telephone_number": "828-328-2094",
            "fax_number": "828-328-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. WISE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-328-2094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NC",
            "license": "11979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8988634",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "88634",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Synn, PLLC
• Christina Jenkins
• Jennifer T. Hu, MD, PLLC
• Jody Dale Papazekos OD
• Elizabeth Kahrs Johanson
• John Keith Earl
• John L Hyatt DDS PA
• John McAllister, DDS, PA
• John S McAllister DDS PA
• William Jesse Johncock, D.P.M

• Legal Medicine in Hickory, NC
• Providers in Hickory, NC by specialty
• Legal Medicine in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.