Greg a. Wise, M.D., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

055595 Issued in OH

Legal business name

GREG A. WISE, M.D., INC.

Practice address

5343 Hendron Rd
Groveport, OH 43125-1055

Phone

(614) 836-2273

Fax

(614) 836-9320

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Greg A Wise, MDNPI 1366413940

Title

Physician/Owner

Phone

(614) 836-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Greg A Wise, M.D.

  • Family Medicine Physician
  • Groveport, OH
  • NPI 1366413940
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1801018924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5343 HENDRON RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251055",
            "telephone_number": "614-836-2273",
            "fax_number": "614-836-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5343 HENDRON RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251055",
            "telephone_number": "614-836-2273",
            "fax_number": "614-836-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG A. WISE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "614-836-2273",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "055595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0739866",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnathan Ray Gomez, LSW
• Cynthia Goral
• Gracegen Health Center Corp
• Graceway Transport, LLC
• Briana Janai Greer
• Wendy A Greiner, NP-C
• Amy Elise Grooms
• Groveport Community School
• Groveport Madison Local SD
• Raymond Gruenther, MD

• Family Medicine Physician in Groveport, OH
• Providers in Groveport, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.