NPIMap

Individual provider Active NPI

Tresa Lynne Wize, DPM

  • Foot & Ankle Surgery Podiatrist
  • Beaver, PA
National Provider Identifier
1780948570
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006397 Issued in PA
Practice address
1030 Beaner Hollow Rd
Beaver, PA 15009-9723
Phone
(724) 775-4242
Fax
(724) 775-4960
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006397 PA Primary

Addresses

Primary practice location

1030 Beaner Hollow Rd
Beaver, PA 15009-9723

Mailing address

1030 Beaner Hollow Rd
Beaver, PA 15009-9723
Phone (724) 775-4242

Other identifiers 1

IdentifierTypeStateIssuer
103117126MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160427000447 PA Practitioner - Podiatry 8123327087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Valley Multispecialty Group IncGroup PAC ID 0042105678, 229 clinicians

Practice addresses (Care Compare)

1030 Beaner Hollow Rd
Beaver, PA 15009-9723
Phone (724) 775-4545

Hospital & facility affiliations

  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036
  • Heritage Valley Sewickley Hospital, Sewickley, PA, CCN 390037

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006397PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Foot & Ankle Surgery Current Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients

Locations

1030 Beaner Hollow Rd
Beaver, PA 15009
Phone (724) 774-0778

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

1000 Dutch Ridge Rd
Fl Third
Beaver, PA 15009
Phone (412) 299-8550

79 Wagner Rd
Ste 103
Monaca, PA 15061
Phone (878) 439-3598

Interoperability endpoints

  • Direct secure messaging: tresawize@hvhs.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1780948570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BEANER HOLLOW RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099723",
            "telephone_number": "724-775-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BEANER HOLLOW RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099723",
            "telephone_number": "724-775-4242",
            "fax_number": "724-775-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIZE",
        "first_name": "TRESA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103117126",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.