STEVEN DWAYNE WISE (NPI# 1659327468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659327468 |
Entity Type | Individual |
Full Name | STEVEN DWAYNE WISE |
Credential | M.D. |
Practice Address |
1118 Ross Clark Cir Suite 100 Dothan AL 36301-3001 |
Practice Telephone | 3347941148 |
Practice Fax Number | 3347931954 |
Mailing Telephone | 3347941148 |
Mailing Fax Number | 3347931954 |
Enumeration Date | 2006-05-25 |
Last Update Date | 2012-01-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
00015918 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 000032731 | 05 | |
AL | BCBS | 051032731 | 01 |
AL | TRICARE | 630991466 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629441175 | Steven Edward Wise | Social Worker | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2015-11-05 |
1255664348 | Steven L. Wise | Psychologist | 482 Jacksonville Dr, Jacksonville Beach, FL 32250-3812 | 2009-09-08 |
1336330869 | Steven Matthew Wise | Radiology | 3501 N Scottsdale Rd, Suite 130, Scottsdale, AZ 85251-5648 | 2007-08-08 |
1033161245 | Steven Edward Wise | Optometrist | 1501 Pine Lake Rd, Suite #1, Lincoln, NE 68512-3692 | 2006-05-16 |
1740262211 | Steven Lee Wise | Allergy & Immunology | 3266 N Meridian St, # 900, Indianapolis, IN 46208-5846 | 2005-11-18 |
Street Address |
1118 ROSS CLARK CIR SUITE 100 |
City | DOTHAN |
State | AL |
Zip Code | 36301-3001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730184912 | Jonathan L. Skinner | Surgery | 1118 Ross Clark Cir, Ste 302, Dothan, AL 36301-3002 | 2005-06-15 |
1104362177 | Phillip Tyler Stanley | Nurse Anesthetist, Certified Registered | 1118 Ross Clark Cir, Dothan, AL 36301-3001 | 2017-01-13 |
1306214390 | Kyndal Saunders | Nurse Practitioner | 1118 Ross Clark Cir, Suite #100, Dothan, AL 36301-3001 | 2015-09-08 |
1427430974 | Keston Trammell | Nurse Practitioner | 1118 Ross Clark Cir, #100, Dothan, AL 36301-3001 | 2015-06-22 |
1033596515 | Premier Cardiology Consultants Inc | Internal Medicine | 1118 Ross Clark Cir, Ste 704, Dothan, AL 36301-3001 | 2015-05-04 |
1962890178 | Dothan Internal Medicine, LLC | Specialist | 1118 Ross Clark Cir, Suite 105, Dothan, AL 36301-3001 | 2014-12-23 |
1083033286 | John Evans Jr. | Nurse Practitioner | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3001 | 2014-04-15 |
1639591423 | Marla Hodge | Nurse Practitioner | 1118 Ross Clark Cir, Suite 403, Dothan, AL 36301-3001 | 2014-01-13 |
1437583598 | Primary Care Consultants, PC | Family Medicine | 1118 Ross Clark Cir, Ste 310, Dothan, AL 36301-3001 | 2013-08-26 |
1609200922 | Alexis Fowler Wood | Nurse Practitioner | 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3001 | 2013-08-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
Find all providers in zip 36301 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740236645 | John Lowrey Stone | Internal Medicine | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3001 | 2006-05-25 |
1295788792 | Akinola Olabandele Ayodeji | Internal Medicine | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3001 | 2006-05-18 |
1851375679 | Brian V Wiethop | Internal Medicine | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3027 | 2005-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093316259 | University of South Alabama Health Care Authority | Internal Medicine | 2503 Old Shell Rd, Mobile, AL 36607-3021 | 2020-11-04 |
1972963064 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Mastin Bldg 102, Mobile, AL 36617-2238 | 2016-03-02 |
1700292786 | Hima Bindu Darapu | Internal Medicine | 2000 6th Avenue South, Kirklin Clinic, 4th Floor, Birmingham, AL 35233 | 2014-07-10 |
1215355425 | Se Young Suh | Internal Medicine | 1801 Pine St Ste 203, Montgomery, AL 36106-1154 | 2014-04-03 |
1043634991 | Malapuram Vasudha Reddy | Internal Medicine | 201 Sivley Rd Sw Ste 440, Huntsville, AL 35801 | 2014-02-13 |
1790106607 | Monica Carmen Chiang | Internal Medicine | 300 South Greeno Road, Suite B, Fairhope, AL 36532 | 2013-12-18 |
1073807871 | Farah Yasmeen Ghori-javed | Internal Medicine | 4500 Montevallo Rd Ste B101, Irondale, AL 35210 | 2011-06-09 |
1801076500 | Janelle Marie Townes | Internal Medicine | 50 Medical Park Dr E Ste 158, Birmingham, AL 35235-3401 | 2007-11-09 |
1982897625 | Charles Runels | Internal Medicine | 750 Downtowner Loop W Ste A, Mobile, AL 36609-5500 | 2007-08-27 |
1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
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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.