Eric Wise, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

MD21551 Issued in ME

Practice address

1365 Broadway
Bangor, ME 04401-2401

Phone

(207) 942-6226

NPI assigned

Jun 21, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Pain ManagementAlso: Anesthesiology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Pain Management PC 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Hospital Hospital, Bangor, ME, CCN 200001
• Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
• Mount Desert Island Hospital Hospital, Bar Harbor, ME, CCN 201304
• Houlton Regional Hospital Hospital, Houlton, ME, CCN 201308

Merit-based Incentive Payment System (MIPS)

Final score

95.26 of 100Reported as group

Quality

96.06

Improvement activities

40

Cost

77.21

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northeast Pain Management, PC

  • Interventional Pain Medicine Physician
  • Bangor, ME
  • NPI 1578579868

  ME, Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147

  Hospital

  Care Compare affiliation
• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1508823741

  Hospital

  Care Compare affiliation
• Mount Desert Island Hospital

  • Dental Clinic/Center
  • Southwest Harbor, ME
  • NPI 1235553413

  Hospital

  Care Compare affiliation
• Mount Desert Island Hospital

  • Critical Access Hospital
  • Bar Harbor, ME
  • NPI 1790764512

  Hospital

  Care Compare affiliation
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1487917704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 DOW ROAD",
            "city": "ORRINGTON",
            "state": "ME",
            "postal_code": "04474",
            "telephone_number": "610-334-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012401",
            "telephone_number": "207-942-6226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3471 5th Ave",
            "address_2": "suite 910",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133215",
            "country_code": "US",
            "telephone_number": "412-692-4503",
            "fax_number": "412-692-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ME",
            "license": "MD21551",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "ME",
            "license": "MD21551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martina Blake Gilmore Wing, CADC
• Wings for Children and Families Inc.
• Winnie the Pooh Nursery School
• Drew Winningham
• Meagan Anita Winslow
• Alan H. Wiseman, MD
• Carol Jean Witham, MHRT-C
• Lena R Witham, PAC
• WJG Multispecialty Clinic PC
• WJG Multispecialty Clinic PC

• All providers in Bangor, ME
• Interventional Pain Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.