Wise Clinical Care Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WISE CLINICAL CARE ASSOCIATES

Practice address

2202 US Highway 380 Ste 112
Bridgeport, TX 76426-2177

Phone

(940) 683-2338

Fax

(940) 683-2394

NPI assigned

Dec 17, 2008

Last updated

Jan 24, 2023By 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

Brian Todd Scoggins

Title

Cfo

Phone

(940) 626-1228

Specialties & licenses 15

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 59

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.

• Elizabeth Nichole Bellows, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1396387866
  Medicare reassignment NPD
• Beryl Ann Brigham, ACNP-BC

  • Nurse Practitioner
  • Graham, TX
  • NPI 1477636009
  Medicare reassignment NPD
• Benjamin Edward Crabb, M.D.

  • Emergency Medicine Physician
  • San Angelo, TX
  • NPI 1891981536

  Undersea and Hyperbaric Medicine

  Medicare reassignment NPD
• Heather Crites, AGAGCNP-BC

  • Acute Care Nurse Practitioner
  • Houston, TX
  • NPI 1073080594
  Medicare reassignment NPD
• Neeraja Dasari, M.D.

  • Radiation Oncology Physician
  • Decatur, TX
  • NPI 1306884853
  Medicare reassignment NPD
• Claressa Donley, FNP

  • Family Nurse Practitioner
  • Decatur, TX
  • NPI 1376061663
  Medicare reassignment NPD
• Russell Benjamin Edwards, DO

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
  • NPI 1629305404
  Medicare reassignment NPD
• Mauro S Ganzon, MD

  • Family Medicine Physician
  • Boyd, TX
  • NPI 1932165503
  Medicare reassignment NPD
• Usman Bin Hashmi, MD

  • Interventional Cardiology Physician
  • North Richland Hills, TX
  • NPI 1922334556

  Cardiovascular Disease

  Medicare reassignment NPD
• Shantell Korey Hayes, FNP-C

  • Nurse Practitioner
  • Decatur, TX
  • NPI 1710499686
  Medicare reassignment NPD
• Leslie M Hollis, MD

  • Pediatrics Physician
  • Decatur, TX
  • NPI 1275582777
  Medicare reassignment NPD
• H. Stephen Hudgens, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Worth, TX
  • NPI 1336107127
  Medicare reassignment NPD

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1679719801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2078",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762346156",
            "telephone_number": "940-683-2338",
            "fax_number": "940-683-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 US HIGHWAY 380 STE 112",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262177",
            "telephone_number": "940-683-2338",
            "fax_number": "940-683-2394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Medical Center Dr",
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            "state": "TX",
            "postal_code": "762343834",
            "country_code": "US",
            "telephone_number": "940-539-8510",
            "fax_number": "940-432-3640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Ben Merritt Dr Unit A",
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            "country_code": "US",
            "telephone_number": "940-626-2300",
            "fax_number": "940-626-2543",
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        {
            "address_1": "2000 S Fm 51",
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            "fax_number": "940-683-3017",
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        {
            "address_1": "2301 S Fm 51 Ste 100",
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        {
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            "telephone_number": "940-627-1435",
            "fax_number": "940-627-1453",
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        {
            "address_1": "2451 S Fm 51 Ste 200",
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            "country_code": "US",
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        {
            "address_1": "609 Medical Center Dr # 2218",
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        {
            "address_1": "609 Medical Center Dr Ste 2300",
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            "fax_number": "940-626-4411",
            "country_name": "United States",
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        {
            "address_1": "2014 Ben Merritt Dr Ste A",
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            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343851",
            "country_code": "US",
            "telephone_number": "940-249-9009",
            "fax_number": "940-626-8684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 N Fm 730 Unit 105",
            "address_purpose": "LOCATION",
            "city": "Boyd",
            "state": "TX",
            "postal_code": "760233072",
            "country_code": "US",
            "telephone_number": "940-433-2151",
            "fax_number": "940-433-2366",
            "country_name": "United States",
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        {
            "address_1": "3100 N Tarrant Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778616",
            "country_code": "US",
            "telephone_number": "817-562-5905",
            "fax_number": "817-562-5906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Medical Center Dr Ste 2500",
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            "postal_code": "762343846",
            "country_code": "US",
            "telephone_number": "817-380-6621",
            "fax_number": "817-380-6622",
            "country_name": "United States",
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        },
        {
            "address_1": "2432 Avondale Haslet Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Haslet",
            "state": "TX",
            "postal_code": "760523428",
            "country_code": "US",
            "telephone_number": "817-369-5876",
            "fax_number": "817-738-3296",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "609 Medical Center Dr Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343835",
            "country_code": "US",
            "telephone_number": "940-539-8128",
            "fax_number": "940-432-3640",
            "country_name": "United States",
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        {
            "address_1": "1602 W Business 380 Ste 100",
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            "country_code": "US",
            "telephone_number": "940-539-0683",
            "fax_number": "940-228-0651",
            "country_name": "United States",
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        {
            "address_1": "7230 Crawford Rd",
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            "country_code": "US",
            "telephone_number": "940-246-2094",
            "fax_number": "940-263-3133",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "1713 S Fm 51 Ste 202",
            "address_purpose": "LOCATION",
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            "state": "TX",
            "postal_code": "762343642",
            "country_code": "US",
            "telephone_number": "940-626-0108",
            "fax_number": "940-757-0625",
            "country_name": "United States",
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            "address_1": "1821 S Fm 51",
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            "country_code": "US",
            "telephone_number": "940-626-4400",
            "fax_number": "940-626-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2202 US Highway 380 Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "TX",
            "postal_code": "764262177",
            "country_code": "US",
            "telephone_number": "940-683-2338",
            "fax_number": "940-683-2394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2202 US Highway 380 Ste 111",
            "address_purpose": "LOCATION",
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            "state": "TX",
            "postal_code": "764262177",
            "country_code": "US",
            "telephone_number": "940-683-2338",
            "fax_number": "940-683-2394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343836",
            "country_code": "US",
            "telephone_number": "940-626-1370",
            "fax_number": "940-393-0561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Medical Center Dr Ste 2800",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343862",
            "country_code": "US",
            "telephone_number": "940-626-3888",
            "fax_number": "940-626-3881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Medical Center Dr Bldg 200",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343866",
            "country_code": "US",
            "telephone_number": "940-627-2708",
            "fax_number": "940-393-0510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Medical Center Dr Ste 2400",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343803",
            "country_code": "US",
            "telephone_number": "940-393-0040",
            "fax_number": "940-432-3659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3124 N Tarrant Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778618",
            "country_code": "US",
            "telephone_number": "817-502-7400",
            "fax_number": "817-502-7403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8479 Davis Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761828604",
            "country_code": "US",
            "telephone_number": "817-479-3818",
            "fax_number": "940-479-3884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7210 Crawford Rd",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "762262579",
            "country_code": "US",
            "telephone_number": "940-263-2696",
            "fax_number": "940-293-2968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7222 Crawford Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "762262673",
            "country_code": "US",
            "telephone_number": "940-393-0040",
            "fax_number": "940-432-3659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISE CLINICAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "SCOGGINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "940-626-1228"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
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            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
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        },
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            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
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        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TEXAS HEALTH STEPS",
            "identifier": "206106102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0047SH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206106101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DP6508",
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        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Jarrett Webb, D.C.
• West 380 Family Care Facility (Doctors' Hospital)
• West 380 Nursing Center (Trinty Care Center)
• West 380 Nursing Home Facility (Trinity Care Center Hospice)
• Angela S Whatley, CPHT
• Wise County Medical & Surgical Association
• Wise County Special Education Cooperative
• Patricia R Young, O.D.
• Young's Eye Center, P.a.

• Family Medicine Physician in Bridgeport, TX
• Providers in Bridgeport, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.