DR. TRESA LYNNE WIZE (NPI# 1780948570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780948570 |
| Entity Type | Individual |
| Full Name | DR. TRESA LYNNE WIZE |
| Credential | DPM |
| Practice Address |
1030 Beaner Hollow Rd Beaver PA 15009-9723 |
| Practice Telephone | 7247754242 |
| Practice Fax Number | 7247754960 |
| Mailing Telephone | 7247754242 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2018-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006397 | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103117126 | 05 |
| Street Address |
1030 BEANER HOLLOW RD |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-9723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230762 | Carolyn Pavlinch Engle | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2005-07-27 |
| 1013544840 | Breanna Edmiston | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9722 | 2020-03-23 |
| 1225506439 | Heritage Valley Medical Group, Inc. | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2018-11-06 |
| 1073089918 | Heritage Valley Multispecialty Group, Inc | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2018-10-18 |
| 1528453016 | Jonathan Julian Zigler | Physician Assistant | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2015-04-01 |
| 1093104879 | Nicholas Giacomo Ciccone | Specialist/Technologist | 1030 Beaner Hollow Rd, Beaver, PA 15009-9722 | 2015-01-15 |
| 1558780734 | Barbarajean Andreen | Nurse Practitioner | 1030 Beaner Hollow Rd, Sbo Office, Beaver, PA 15009-9723 | 2014-04-15 |
| 1518380377 | Nancy A Martin | Specialist/Technologist | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2014-01-30 |
| 1316389513 | Alexis Engle Pilato | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2013-07-29 |
| 1467763003 | Kimberlee Brooke Hobizal | Podiatrist | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2010-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851314439 | Joseph W Bozek Jr. | Podiatrist | 336 College Ave, Beaver, PA 15009-2231 | 2006-07-25 |
| 1477817336 | Steven Schaeffer | Podiatrist | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2012-06-26 |
| 1467763003 | Kimberlee Brooke Hobizal | Podiatrist | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2010-06-29 |
| 1073679908 | Christina Teimouri | Podiatrist | 500 Market St, Ste 101, Beaver, PA 15009-2998 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
| 1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
| 1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
| 1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
| 1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
| 1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
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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.