NPIMap

Organization Active NPI

Wisdom Healthcare Services

  • Case Management Agency
  • Tyler, TX
National Provider Identifier
1558614669
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
06598 Issued in TX
Legal business name
WISDOM HEALTHCARE SERVICES
Practice address
2726 Van Hwy
Tyler, TX 75702-2743
Phone
(903) 526-0505
Fax
(903) 747-3830
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Mary Collins
Title
Group Director
Phone
(903) 526-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 06598 TX Primary

Addresses

Primary practice location

2726 Van Hwy
Tyler, TX 75702-2743

Mailing address

2726 Van Hwy
Tyler, TX 75702-2743
Phone (903) 526-0505

National Provider Directory

National Provider Directory

Locations

2726 Van Hwy
Tyler, TX 75702
Phone (903) 526-0505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1558614669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 VAN HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757022743",
            "telephone_number": "903-526-0505",
            "fax_number": "903-747-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 VAN HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757022743",
            "telephone_number": "903-526-0505",
            "fax_number": "903-747-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "GROUP DIRECTOR",
        "authorized_official_telephone_number": "903-526-0505"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "06598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.