DENISE KATHLEEN WISE (NPI# 1184634586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184634586 |
| Entity Type | Individual |
| Full Name | DENISE KATHLEEN WISE |
| Other Name | DENISE KATHLEEN SCHROEDER |
| Credential | M.D. |
| Practice Address |
800 5th Ave Suite 400 Fort Worth TX 76104-7300 |
| Practice Telephone | 8179241999 |
| Practice Fax Number | 8178860881 |
| Mailing Telephone | 8179241999 |
| Mailing Fax Number | 8178860881 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2015-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
K3002 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A74394 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 104612003 | 05 | |
| CA | 00A743940 | 05 | |
| TX | 104612005 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185553 | Denise M Wise | Physical Therapist | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2019-10-09 |
| 1649530809 | Denise Wise | Registered Nurse | 200 Elizabeth St, Charleston, WV 25311-2119 | 2012-05-22 |
| Street Address |
800 5TH AVE SUITE 400 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647048 | Mayme Richie-gillespie | Orthopaedic Surgery | 800 5th Ave, Suite 400, Fort Worth, TX 76104-7300 | 2005-05-24 |
| 1932686789 | Jedidiah Stratton | Specialist/Technologist | 800 5th Ave, Fort Worth, TX 76104-7300 | 2018-07-24 |
| 1710407663 | Willie Amos | Physical Therapy Assistant | 800 5th Ave, Fort Worth, TX 76104-7300 | 2017-06-22 |
| 1477906634 | Loriell Forte | Specialist/Technologist | 800 5th Ave, Fort Worth, TX 76104-7300 | 2016-07-22 |
| 1386994721 | Lisa Ann Pataky | Physical Therapist | 800 5th Ave, Ste 150, Fort Worth, TX 76104-7300 | 2012-09-13 |
| 1285991257 | Shelley Rebecca Barclay | Nurse Practitioner | 800 5th Ave, Suite 300, Fort Worth, TX 76104-7300 | 2012-04-16 |
| 1275899734 | William F Pientka II | Orthopaedic Surgery | 800 5th Ave, Fort Worth, TX 76104-7300 | 2012-04-09 |
| 1619256591 | Medical Clinic of North Texas Pllc | Durable Medical Equipment & Medical Supplies | 800 5th Ave, Suite 300, Fort Worth, TX 76104-7300 | 2011-08-10 |
| 1295966786 | Abigail K. Robinson | Physician Assistant | 800 5th Ave, Suite 300, Fort Worth, TX 76104-7300 | 2009-07-31 |
| 1568618619 | Mayme Richie-gillespie, M.d., P.a. | Orthopaedic Surgery | 800 5th Ave, Suite 400, Fort Worth, TX 76104-7300 | 2008-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619389392 | Thomas Fikar | Radiology | 8216 Deerwood Forest Dr, Fort Worth, TX 76126-5181 | 2014-05-29 |
| 1487939328 | Fort Worth Radiology, Pllc | Radiology | 2603 8th Ave Ste D, Suite D, Fort Worth, TX 76110-3000 | 2011-10-11 |
| 1730331380 | Steven L. Hsu | Radiology | 5750 Stratum Dr, Fort Worth, TX 76137-2757 | 2008-10-15 |
| 1841468360 | Walworth Edward Burge | Radiology | 815 Pennsylvainia Ave, Fort Worth, TX 76104-2224 | 2008-02-19 |
| 1306034699 | Pin Point Radiology Management Seaford Pa | Radiology | 1412 W Magnolia Ave, Suite 100, Fort Worth, TX 76104-4378 | 2007-10-11 |
| 1689897977 | Stephen Melvyn Lobo | Radiology | 815 Pennsylvania Avenue, Fort Worth, TX 76104-2224 | 2007-04-11 |
| 1235269119 | Texas Health Care, P.l.l.c. | Radiology | 3800 Hulen, Suite 100, Fort Worth, TX 76107-7270 | 2007-03-07 |
| 1245360171 | Texas Health Care, P.l.l.c. | Radiology | 800 W Magnolia Ave Ste 100, Fort Worth, TX 76104-4611 | 2007-03-07 |
| 1932254679 | Envision Imaging of North Fort Worth | Radiology | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2007-01-24 |
| 1033160015 | Monticello Diagnostic Imaging Lp | Radiology | 3712 W 7th Street, Suite A, Fort Worth, TX 76107 | 2006-05-13 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.