DR. CORINNE MARIE WISDO (NPI# 1053511253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053511253 |
| Entity Type | Individual |
| Full Name | DR. CORINNE MARIE WISDO |
| Credential | DPM |
| Practice Address |
907 Medical Cir Myrtle Beach SC 29572-4116 |
| Practice Telephone | 8433573762 |
| Practice Fax Number | 8433573772 |
| Mailing Telephone | 8433573762 |
| Mailing Fax Number | 8433573772 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2015-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | SC006008 | PA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
592 | SC | Podiatric Medicine & Surgery Service Providers |
| Street Address |
907 MEDICAL CIR |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467628925 | Adam Tyler Biglin | Podiatrist | 907 Medical Cir, Myrtle Beach, SC 29572-4116 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| Find all providers in zip 29572 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508226580 | Foot and Heel Pain Clinic, LLC | Podiatrist | 551 Old Charleston Hwy, Hardeeville, SC 29927-3716 | 2016-03-03 |
| 1952630972 | Roper Saint Francis Physicians Network | Podiatrist | 2270 Ashley Crossing Dr Ste 110, Charleston, SC 29414 | 2009-12-22 |
| 1487889200 | Carolina Foot Specialists, LLC | Podiatrist | 501 Bramson Ct Unit 301, Mt Pleasant, SC 29464-7953 | 2009-05-22 |
| 1720228661 | Nicholas A Straney Dpm | Podiatrist | 701 Saint Andrews Blvd, Charleston, SC 29407-7140 | 2009-03-05 |
| 1457543589 | Mid-carolina Podiatry, Inc. | Podiatrist | 1207 N Lake Dr, Lexington, SC 29072-7647 | 2007-08-13 |
| 1467571919 | Cheraw Foot Center PC | Podiatrist | 110 S Doctors Dr, Suite B1, Cheraw, SC 29520-7112 | 2007-03-28 |
| 1326117433 | Richard Hampton Moore | Podiatrist | 4000 Highway 9 E # 235, Little River, SC 29566-7833 | 2006-11-06 |
| 1093804817 | George Sich IIi | Podiatrist | 901 Magnolia Dr, Aiken, SC 29803 | 2006-10-12 |
| 1891891644 | James Leon Rose | Podiatrist | 2126b N Highway 81, Anderson, SC 29621-1532 | 2006-09-16 |
| 1043316987 | Palmetto Podiatry Group of Anderson, Pa | Podiatrist | 2126 - B Hwy 81 North, Anderson, SC 29621-4819 | 2006-09-16 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
Please comment or provide details below to improve the information on DR. CORINNE MARIE WISDO.
| 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.