NPIMap

Organization Active NPI

Healthwise Medicine LLC

  • Internal Medicine Physician
  • Towson, MD
National Provider Identifier
1851582027
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M49995 Issued in MD
Legal business name
HEALTHWISE MEDICINE LLC
Practice address
8501 Lasalle Rd
Suite #102
Towson, MD 21286-5914
Phone
(410) 821-8087
Fax
(410) 821-9001
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Dr. Kalvin John Wiley, M.D.NPI 1730123738
Title
Physician Ceo
Phone
(410) 821-8087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X M49995 MD Primary

Addresses

Primary practice location

8501 Lasalle Rd
Suite #102
Towson, MD 21286-5914

Mailing address

8501 Lasalle Rd
Suite #102
Towson, MD 21286-5914
Phone (410) 821-8087

Other identifiers 4

IdentifierTypeStateIssuer
J203OtherMDGHMSI
J2030000OtherMDBCBS FEDERAL
6813038 00MedicaidMD
6902000000KFD6OtherMDCAREFIRST BCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1851582027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 LASALLE RD",
            "address_2": "SUITE #102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865914",
            "telephone_number": "410-821-8087",
            "fax_number": "410-821-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 LASALLE RD",
            "address_2": "SUITE #102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865914",
            "telephone_number": "410-821-8087",
            "fax_number": "410-821-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "KALVIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN  CEO",
        "authorized_official_telephone_number": "410-821-8087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "M49995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI",
            "identifier": "J203",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL",
            "identifier": "J2030000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6813038 00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "6902000000KFD6",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.