Wise Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WISE DERMATOLOGY, PLLC

Doing business as

WISE Dermatology

Practice address

13333 Dotson Rd Ste 140
Houston, TX 77070-4305

Phone

(281) 975-0585

Fax

(281) 975-0584

NPI assigned

May 21, 2020

Last updated

Nov 12, 2020By 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. Matthew Sewell, MDNPI 1982996773

Title

President

Phone

(281) 975-0585

Specialties & licenses 2

Addresses

Other names 1

• WISE Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Matthew James Sewell, MD, PHARMD

  • Dermatology Physician
  • Houston, TX
  • NPI 1982996773
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1487277737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 DOTSON RD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704305",
            "telephone_number": "281-975-0585",
            "fax_number": "281-975-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 DOTSON RD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704305",
            "telephone_number": "281-975-0585",
            "fax_number": "281-975-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-975-0585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WISE Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Wisbon, MD
• Nancy Jean Wischmeier, LPC
• Wisdom Muofhe (Care Team Provider)
• Claire Elizabeth Wisdom, MA, LPC-A
• Wise Counsel
• Ashlea Wise
• Elsa Mancera Wise, PA-C
• Tanya Saucier Wise, OT
• Tesa Marie Wise
• Vance Eric Wise, M.D.

• Dermatology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.