Richard C Wise, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4201 Issued in MT

Practice address

430 Windward Way
Suite 101
Kalispell, MT 59901-2619

Phone

(406) 752-8433

Fax

(406) 756-6768

NPI assigned

May 19, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kalispell Regional Medical Center, Inc

  • Clinic/Center
  • Kalispell, MT
  • NPI 1285689539
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1851344808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WINDWARD WAY",
            "address_2": "SUITE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012619",
            "telephone_number": "406-752-8433",
            "fax_number": "406-756-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WINDWARD WAY",
            "address_2": "SUITE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012619",
            "telephone_number": "406-752-8433",
            "fax_number": "406-756-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "4201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "11670",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98107",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah E Winfrey
• Kathleen Mary Wing, OTR
• R. Dennis Winkel, M.D.
• Quinn Winter, MSW, LCSW
• Tazia Wisdom, PCLC
• Greg Wiser
• John Wisher
• Todd B. Wisser, DO
• Stephanie Witbrod, FNP-C
• Bobbie Wold, LCPC

• Family Medicine Physician in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.