DR. PERRY JOE WISE (NPI# 1033342720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033342720 |
| Entity Type | Individual |
| Full Name | DR. PERRY JOE WISE |
| Credential | N.D. |
| Practice Address |
723 Ballentine St Raymond WA 98577-3603 |
| Mailing Address |
Po Box 308 Healing Heart & Hands South Bend WA 98586-0308 |
| Practice Telephone | 3605812252 |
| Mailing Telephone | 3605812252 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | NT00000808 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
723 BALLENTINE ST |
| City | RAYMOND |
| State | WA |
| Zip Code | 98577-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265643613 | Cozette Arlene Little | Specialist | 3224 Sienko Road, Raymond, WA 98577 | 2007-05-25 |
| 1962614578 | Raymond United Drug LLC | Pharmacist | 707 Willapa Place, Raymond, WA 98577 | 2007-05-04 |
| 1063409134 | Jeffrey S Nevitt | Optometrist | 500 Willapa Place, Pacific Eye Clinic, Raymond, WA 98577 | 2005-10-04 |
| 1215427547 | Michaela Irene Eastham | Counselor | 1016 Commercial St, Raymond, WA 98577 | 2018-05-11 |
| 1164724555 | Herbert Horst Von Thiele | Family Medicine | 410 2nd St, Raymond, WA 98577-1710 | 2010-11-17 |
| 1376835744 | Brighton Rehabilitation LLC | Occupational Therapist | 223 Duryea St, Raymond, WA 98577-1718 | 2011-05-04 |
| 1114467214 | Kerstin Rae Jones | Massage Therapist | 223 Duryea St, Raymond, WA 98577-1718 | 2017-03-08 |
| 1659706273 | Kailyn Knight | Massage Therapist | 223 Duryea St, Raymond, WA 98577-1718 | 2013-09-13 |
| 1417172412 | Daniel Robert Hamilton | Dentist | 416 4th St, Raymond, WA 98577-1808 | 2007-04-16 |
| 1306992045 | City of Raymond | Ambulance | 212 Commercial St, Raymond, WA 98577-2415 | 2007-01-26 |
| Find all providers in zip 98577 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431519 | Madena Jane Gibson | General Practice | 1695 Moses Rd, Raymond, MS 39154-8766 | 2017-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063971703 | Source Northwest Integrative Medicine | General Practice | 7206 267th St Nw Ste 102, Stanwood, WA 98292-6269 | 2019-03-12 |
| 1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
| 1740755651 | Alyssa Ann Yruegas | General Practice | 2108 W Spruce St, Moses Lake, WA 98837-2853 | 2018-10-06 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
| 1790212496 | Thien Thanh Ho | General Practice | 12307 Douglas Rd, Yakima, WA 98908-9129 | 2017-05-12 |
| 1285173625 | Regenerative Medicine Institute, Pllc | General Practice | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2017-02-17 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
| 1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.