DR. DAVID PAUL WISE (NPI# 1154385185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154385185 |
| Entity Type | Individual |
| Full Name | DR. DAVID PAUL WISE |
| Credential | MD, DDS |
| Practice Address |
415 Morris St Suite 309 Charleston WV 25301-1842 |
| Mailing Address |
415 Morris St Suite 309 Charleston WV 25301-1953 |
| Practice Telephone | 3043883290 |
| Practice Fax Number | 3043883186 |
| Mailing Telephone | 3043883290 |
| Mailing Fax Number | 3043883186 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2015-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3328 | WV | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 18520 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0047377000 | 05 | |
| WV | 0047377-001 | 05 | |
| RAILROAD MEDICARE | 850000198 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043675515 | David Wise | Registered Nurse | 728 Wisconsin St, Lake Geneva, WI 53147-1826 | 2015-12-28 |
| 1265669212 | David Wise | Psychologist | 12470 Fiori Lane, Sebastopol, CA 95472 | 2009-06-17 |
| 1780627414 | David S. Wise | Internal Medicine | 11606 Mill Rock Rd, San Antonio, TX 78230-2762 | 2006-06-13 |
| 1730671009 | David Wise | Massage Therapist | 421 W Mendenhall St, Bozeman, MT 59715-3448 | 2018-06-03 |
| 1679085880 | David M Wise | Hearing Instrument Specialist | 1819 Harding Hwy, Lima, OH 45804-3466 | 2017-10-27 |
| 1336438258 | David R Wise | Internal Medicine | 160 E 34th St, New York, NY 10016-4744 | 2011-03-31 |
| 1518261031 | David Jonathan Wise | Social Worker | 28 Beechwood Rd, Summit, NJ 07901-2532 | 2010-12-23 |
| 1295999126 | David Michael Wise | Dentist | 1598 Marion Mount Gilead Rd, Marion, OH 43302-5820 | 2008-07-10 |
| 1073631297 | David Andrew Wise | Radiology | 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 | 2007-03-26 |
| 1134259849 | David Leo Wise | Family Medicine | 115 S 15th Ave, Pocatello, ID 83201-4068 | 2007-03-06 |
| Street Address |
415 MORRIS ST SUITE 309 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044710 | Michael M Boustany Md Inc | Surgery | 415 Morris St, Ste 105, Charleston, WV 25301-1840 | 2005-06-22 |
| 1306382460 | Joanne Marie Torres | Physician Assistant | 415 Morris St, Suite 400, Charleston, WV 25301-1842 | 2017-01-13 |
| 1396120531 | Wesley J. Massey | Nurse Practitioner | 415 Morris St, Suite 201, Charleston, WV 25301-1842 | 2015-07-29 |
| 1033591656 | Rebecca M Bowe | Nurse Practitioner | 415 Morris St, Suite 400, Charleston, WV 25301-1842 | 2015-06-19 |
| 1164801676 | Erik James Anderson | Physician Assistant | 415 Morris St, Suite 400, Charleston, WV 25301-1842 | 2015-05-29 |
| 1780001487 | Integrated Health Care Providers, Inc. | Ophthalmology | 415 Morris St, Suite 100, Charleston, WV 25301-1842 | 2014-03-20 |
| 1386998680 | Chelsea Elizabeth Walker | Physician Assistant | 415 Morris St, Suite 201, Charleston, WV 25301-1842 | 2012-11-08 |
| 1518210046 | Natalie F. Allen | Nurse Practitioner | 415 Morris St, Suite 201, Charleston, WV 25301-1842 | 2012-10-22 |
| 1346591468 | Jacquelin L. Mollohan | Nurse Practitioner | 415 Morris St, Suite 201, Charleston, WV 25301-1842 | 2012-09-28 |
| 1275888323 | Heather Renee Conway | Nurse Practitioner | 415 Morris St, Suite 400, Charleston, WV 25301-1842 | 2012-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1730602319 | Shelbourne & Associates Oral and Facial Surgery | Oral & Maxillofacial Surgery | 198 Rutledge Ave Ste 4, Charleston, SC 29403-5834 | 2017-07-25 |
| 1861400756 | Integrated Health Care Providers, Inc. | Oral & Maxillofacial Surgery | 415 Morris St Ste 309, Charleston, WV 25301-1853 | 2006-08-04 |
| 1699781294 | Integrated Health Care Providers, Inc. | Oral & Maxillofacial Surgery | 830 Pennsylvania Ave Ste 302, Charleston, WV 25302-3390 | 2006-08-01 |
| 1952748196 | Samir Waris | Oral & Maxillofacial Surgery | 415 Morris St Ste 309, Charleston, WV 25301-1853 | 2013-05-29 |
| 1477694230 | University Medical Associates | Oral & Maxillofacial Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2007-02-12 |
| 1790898732 | Beverly Attaway | Oral & Maxillofacial Surgery | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-16 |
| 1225057185 | Integrated Health Care Providers, Inc. | Oral & Maxillofacial Surgery | 415 Morris St, Suite 304, Charleston, WV 25301-1842 | 2006-07-19 |
| 1518983857 | Betsy Kay Davis | Oral & Maxillofacial Surgery | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-07-13 |
| 1942256839 | Michael W Tabor | Oral & Maxillofacial Surgery | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-05-25 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
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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.