Jeffrey J Wise, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

101059130 Issued in VA

Practice address

52 W Shirley Ave
Warrenton, VA 20186

Phone

(540) 347-9220

Fax

(540) 347-0342

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

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.

• Blue Ridge Orthopaedic Associates PC

  • Orthopaedic Surgery Physician
  • Warrenton, VA
  • NPI 1508959701
  Medicare reassignment NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1609893155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W SHIRLEY AVE",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "20186",
            "telephone_number": "540-347-9220",
            "fax_number": "540-347-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W SHIRLEY AVE",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "20186",
            "telephone_number": "540-347-9220",
            "fax_number": "540-347-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "101059130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "328930",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6407391",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Christine Widman, MSPSY, MSOT, OTR/L
• Jennifer L Wilkins, PT
• William C. Walther, DDS, LTD
• Gary Davis Williams Jr., PHARM. D
• Mary Beth E Williams, PH.D., LCSW, CTS
• Linda Katherine Wise, DPT,MOT,PT,OTR/L
• Lauren Witkowski
• Roland Wong
• Hannah Adele Lattimore Woodley, PA-C
• Woodside Pediatric Dentistry

• Orthopaedic Surgery Physician in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.