NPIMap

Organization Active NPI

Wise Weight Management PC

  • Obesity Medicine (Family Medicine) Physician
  • Saginaw, MI
National Provider Identifier
1649852013
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
Legal business name
WISE WEIGHT MANAGEMENT PC
Practice address
3069 Bay Plaza Drive
Saginaw, MI 48604
Phone
(989) 272-3215
Fax
(833) 974-2434
NPI assigned
Apr 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Dr. Dafina Wise Allen, MDNPI 1811288400
Title
Ceo, Owner
Phone
(989) 272-3215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QB0002X Primary

Addresses

Primary practice location

3069 Bay Plaza Drive
Saginaw, MI 48604

Mailing address

PO Box 6412
Saginaw, MI 48608
Phone (989) 272-3215

National Provider Directory

National Provider Directory

Locations

3069 Bay Plaza Dr
Saginaw, MI 48604
Phone (989) 272-3215

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22256/brand/1/csg/1/fhir/r4

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": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1649852013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6412",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48608",
            "telephone_number": "989-272-3215",
            "fax_number": "833-974-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 BAY PLAZA DRIVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48604",
            "telephone_number": "989-272-3215",
            "fax_number": "833-974-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE WEIGHT MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAFINA",
        "authorized_official_middle_name": "WISE",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "989-272-3215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.