WISE CLINICAL CARE ASSOCIATES (NPI# 1679719801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679719801 |
| Entity Type | Organization |
| Organization Name | WISE CLINICAL CARE ASSOCIATES |
| Practice Address |
2202 Us Highway 380 Ste 112 Bridgeport TX 76426-2177 |
| Mailing Address |
Po Box 2078 Decatur TX 76234-6156 |
| Practice Telephone | 9406832338 |
| Practice Fax Number | 9406832394 |
| Mailing Telephone | 9406832338 |
| Mailing Fax Number | 9406832394 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | BRIAN TODD SCOGGINS (CFO) |
| Authorized Official Telephone | 9406261228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 206106101 | 05 | |
| TX | BCBS | 0047SH | 01 |
| TX | MEDICAID TEXAS HEALTH STEPS | 206106102 | 01 |
| TX | MEDICARE RAILROAD | DP6508 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Medical Center Dr, Decatur, TX 762343834 | 9405398510 | 9404323640 |
| 133 N Fm 730 Unit 105, Boyd, TX 760233072 | 9404332151 | 9404332366 |
| 2202 Us Highway 380 Ste 112, Bridgeport, TX 764262177 | 9406832338 | 9406832394 |
| 2014 Ben Merritt Dr Ste A, Decatur, TX 762343851 | 9402499009 | 9406268684 |
| 609 Medical Center Dr Ste 2500, Decatur, TX 762343846 | 8173806621 | 8173806622 |
| 2432 Avondale Haslet Rd Ste 100, Haslet, TX 760523446 | 8173695876 | 8177383296 |
| 3100 N Tarrant Pkwy Ste 100, Fort Worth, TX 761778616 | 8175625905 | 8175625906 |
| 2451 S Fm 51 Ste 200, Decatur, TX 762343860 | 9406272409 | 9406264579 |
| 2301 S Fm 51 Ste 300, Decatur, TX 762343864 | 9406271435 | 9406271453 |
| 2301 S Fm 51 Ste 100, Decatur, TX 762343864 | 9406262461 | 9406262462 |
| 2000 S Fm 51, Decatur, TX 762343702 | 9406833014 | 9406833017 |
| 2010 Ben Merritt Dr Unit A, Decatur, TX 762343853 | 9406262300 | 9406262543 |
| 609 Medical Center Dr # 2218, Decatur, TX 762343836 | 9406262718 | 9406261320 |
| 609 Medical Center Dr Ste 2300, Decatur, TX 762343802 | 9406264400 | 9406264411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386112506 | Wise Clinical Care Associates | Clinic/Center | 2432 Avondale Haslet Rd Ste 100, Haslet, TX 76052-3446 | 2018-11-06 |
| Street Address |
2202 US HIGHWAY 380 STE 112 |
| City | BRIDGEPORT |
| State | TX |
| Zip Code | 76426-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417949983 | Michael D Shaffer | Family Medicine | 2202 Us Highway 380 Ste 112, Bridgeport, TX 76426-2177 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790169613 | Victor Esmeraldo | Dentist | 1808 Chico Hwy, Bridgeport, TX 76426 | 2015-07-10 |
| 1376941013 | K&h Dental Pa | Clinic/Center | 1808 Chico Highway, Bridgeport, TX 76426 | 2014-12-11 |
| 1710252572 | Jonathon Stanley Scarborough | Nurse Anesthetist, Certified Registered | 1509 Dr. Hospital Drive, Bridgeport, TX 76426 | 2012-03-13 |
| 1124153010 | Christopher Aaron Hicks | Physical Therapist | 707 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 | 2007-02-22 |
| 1578636411 | 34hha, Inc | Home Health | 401 Center Ct., Bridgeport, TX 76426 | 2006-11-16 |
| 1295777902 | West 380 Nursing Center | Assisted Living Facility | 2108 15th St, Bridgeport, TX 76426 | 2006-06-10 |
| 1780810234 | Scc Partners Inc | Skilled Nursing Facility | 2108 15th St, Bridgeport, TX 76426 | 2009-06-10 |
| 1477175628 | Noemi Araceli Meza | Non-emergency Medical Transport (VAN) | 1006 Newby Ave, Bridgeport, TX 76426-2030 | 2020-05-11 |
| 1992013692 | Bridgeport Isd | Local Education Agency (LEA) | 2107 15th St, Bridgeport, TX 76426-2052 | 2010-09-16 |
| 1952853194 | City of Ennis | Skilled Nursing Facility | 2108 15th St, Bridgeport, TX 76426-2055 | 2016-11-03 |
| Find all providers in zip 76426 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326594227 | Apple Rehab | Clinic/Center | 3275 Main St Apt 104, Bridgeport, CT 06606-4231 | 2016-08-30 |
| 1730421397 | Eclectic Physical Therapy LLC | Clinic/Center | 2889 Fairfield Ave, Bridgeport, CT 06605-3211 | 2013-03-21 |
| 1033372867 | Bridgeport Pain Clinic | Clinic/Center | 47053 Al Highway 277, Suite B, Bridgeport, AL 35740-7205 | 2008-07-02 |
| 1356420806 | Christensen Chiropractic Clinic, P.C. | Clinic/Center | 805 Main Street, Bridgeport, NE 69336-0759 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558826 | Mercy Clinic | Clinic/Center | 951 Tristar Dr, Webster, TX 77598-1536 | 2020-11-03 |
| 1477150688 | Sun Houston, LLC | Clinic/Center | 7505 Fannin St Ste 430, Houston, TX 77054-1944 | 2020-10-01 |
| 1295341147 | Mo City Apothecary LLC | Clinic/Center | 3708 Texas Pkwy Ste F, Missouri City, TX 77489-6173 | 2020-09-16 |
| 1114531167 | Action Potential - Sports and Neurological Rehab, Pllc | Clinic/Center | 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 | 2020-09-06 |
| 1609480755 | Galloway Clinic Pllc | Clinic/Center | 1336 N Galloway Ave Ste 124a, Mesquite, TX 75149-2490 | 2020-09-06 |
| 1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
| 1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 76426 |
Please comment or provide details below to improve the information on WISE CLINICAL CARE ASSOCIATES.
| 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.