MRS. DEBORAH ANN WISE (NPI# 1134340599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134340599 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH ANN WISE |
| Credential | CNS |
| Practice Address |
3700 Southern Blvd Ste 401 Kettering OH 45429-1226 |
| Mailing Address |
1 Prestige Pl Suite 550 Miamisburg OH 45342-3794 |
| Practice Telephone | 8555002873 |
| Practice Fax Number | 9372813913 |
| Mailing Telephone | 9377522305 |
| Mailing Fax Number | 9375227513 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2017-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WX0200X |
Registered Nurse Specialization: Oncology |
RN167460 | OH | Nursing Service Providers |
| N | 364S00000X | Clinical Nurse Specialist | COA02210NS | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SX0200X |
Clinical Nurse Specialist Specialization: Oncology |
COA02210NS | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0067949 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891916433 | Deborah M Wise | Occupational Therapy Assistant | 1220 E. Laguna, Kokomo, IN 46902 | 2007-05-01 |
| 1760540082 | Deborah Lynn Wise | Speech-Language Pathologist | 3100 W Ray Rd, Chandler, AZ 85226-2470 | 2006-12-06 |
| 1831678374 | Deborah Ann Wise | Physical Therapist | 6040 W 84th St, Indianapolis, IN 46278-1360 | 2018-08-07 |
| 1487928859 | Deborah Ann Wise | Case Manager/Care Coordinator | 3223 N Oliver St, Wichita, KS 67220-2106 | 2012-03-02 |
| 1538452388 | Deborah Jean Wise | Occupational Therapist | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2011-05-25 |
| 1376694554 | Deborah Wise | Psychologist | 1962 Nw Kearney St, Suite 201, Portland, OR 97209-1400 | 2007-01-15 |
| Street Address |
3700 SOUTHERN BLVD STE 401 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457341760 | Alejandro R Calvo | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1265 | 2005-10-27 |
| 1972060424 | Asia Richardson | Nurse Practitioner | 3700 Southern Blvd Ste 401, Kettering, OH 45429 | 2019-02-20 |
| 1740768340 | Brandie Lyn Mcguire | Nurse Practitioner | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2018-08-06 |
| 1457754236 | Sarah-jane E. Mcpherson | Physician Assistant | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2014-10-07 |
| 1144537135 | Roxana Aguirre Pedroza | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1265 | 2010-09-11 |
| 1942461702 | Hetal Desai | Physician Assistant | 3700 Southern Blvd Ste 401, Kettering, OH 45429 | 2008-06-24 |
| 1295929875 | Emily Jo Franks | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2007-08-28 |
| 1568674554 | Rebecca Mae Tuttle | Surgery | 3700 Southern Blvd Ste 401, Kettering, OH 45429 | 2007-05-04 |
| 1356464614 | Brandon J Cutler | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2007-04-09 |
| 1396812467 | Raenell J Poynter | Nurse Practitioner | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 364SX0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Oncology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206373 | Alecia Smalheer | Clinical Nurse Specialist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-08-18 |
| 1942725528 | Diana Karius | Clinical Nurse Specialist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2017-08-04 |
| 1194246009 | Jill M Reese | Clinical Nurse Specialist | 31 Farquhar Ave, Wilmington, OH 45177-2188 | 2017-06-30 |
| 1053865402 | Shelly Brown | Clinical Nurse Specialist | 460 W 10th Ave, Columbus, OH 43210-1240 | 2016-08-14 |
| 1861842866 | Anne Kolenic | Clinical Nurse Specialist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-06-21 |
| 1326460361 | Lisa M Smith | Clinical Nurse Specialist | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2014-01-10 |
| 1699030130 | Gretchen Todd | Clinical Nurse Specialist | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2012-07-11 |
| 1710248828 | Gail B Johnson | Clinical Nurse Specialist | 234 Goodman St, Cincinnati, OH 45219-2399 | 2012-06-05 |
| 1134422074 | Pauline F James | Clinical Nurse Specialist | 111 S Grant Ave, Columbus, OH 43215-4701 | 2010-12-15 |
| 1053622431 | Cheryl Ann Huang | Clinical Nurse Specialist | 456 W 10th Ave, 4235a Cramblett Hall, Columbus, OH 43210-1240 | 2010-06-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. DEBORAH ANN WISE.
| 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.