William R. Wise, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

026095 Issued in LA

Practice address

1121 Gatewood Circle
Shreveport, LA 71106

Phone

(318) 798-2660

NPI assigned

May 24, 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 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Emergency MedicineAlso: General Surgery

Education

Louisiana State University School of Medicine in Shreveport, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highland Emergency Group, LLCGroup PAC ID 6800295890, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Highland Emergency Group, LLC

  • Emergency Medicine Physician
  • Shreveport, LA
  • NPI 1154913861
  Medicare reassignment Care Compare group NPD
• Christus Health Central Louisiana

  • Emergency Medicine Physician
  • Coushatta, LA
  • NPI 1417494758
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441
  Medicare reassignment NPD
• Coushatta ER Physicians

  • Emergency Medicine Physician
  • Coushatta, LA
  • NPI 1427480680
  Medicare reassignment NPD
• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974
  Medicare reassignment NPD
• Oakdale Ess LLC

  • Emergency Medicine Physician
  • Oakdale, LA
  • NPI 1750785119
  Medicare reassignment NPD
• Ess Hospitalist LLC

  • Hospitalist Physician
  • Crossett, AR
  • NPI 1881967305

  LA

  Medicare reassignment NPD
• Christus Health Central Louisiana

  • Family Nurse Practitioner
  • Coushatta, LA
  • NPI 1578137782
  NPD
• Christus Health Central Louisiana

  • General Acute Care Hospital
  • Alexandria, LA
  • NPI 1639160799
  NPD
• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059
  NPD (past)
• Christus Health Central Louisiana

  • Rural Health Clinic/Center
  • Ringgold, LA
  • NPI 1205827151
  NPD (past)

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

• Christus Health Northern Louisiana

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1417950106
  Care Compare affiliation

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1841245842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 GATEWOOD CIRCLE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71106",
            "telephone_number": "318-798-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 GATEWOOD CIRCLE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71106",
            "telephone_number": "318-798-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "WILLIAM",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "LA",
            "license": "026095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1722677",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Wisby
• David Wischoff, DDS
• Lauren Wise
• Rodney Wise, M.D.
• Sharetha Wise
• Benjamin R. Wisenbaker, CRNA
• Morgan S. Wisenbaker
• Connor Wisniewski-Top, PT, DPT
• Shila Withers
• Witte Family Dentistry, LLC

• Emergency Medical Services (Emergency Medicine) Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.