DUSTIN BRYANT WISE (NPI# 1811945769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811945769 |
| Entity Type | Individual |
| Full Name | DUSTIN BRYANT WISE |
| Credential | M.D. |
| Practice Address |
1888 W 800 N Pleasant Grove UT 84062-4097 |
| Mailing Address |
1888 W 800 N Pleasant Grove UT 84062 |
| Practice Telephone | 8014927851 |
| Practice Fax Number | 8014927883 |
| Mailing Telephone | 8014927851 |
| Mailing Fax Number | 8014927883 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 52479661205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | IHC HEALTH PLANS | 107017722102 | 01 |
| Street Address |
1888 W 800 N |
| City | PLEASANT GROVE |
| State | UT |
| Zip Code | 84062-4097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811423080 | Christopher Ryan Edwards | Neuromusculoskeletal Medicine & OMM | 1888 W 800 N, Pleasant Grove, UT 84062-4097 | 2017-05-10 |
| 1962879940 | In2it Medical LLC | Family Medicine | 1888 W 800 N, Pleasant Grove, UT 84062-4097 | 2015-08-26 |
| 1356625859 | Ryan Jay Rasmussen | Nurse Practitioner | 1888 W 800 N, Pleasant Grove, UT 84062-4097 | 2011-10-03 |
| 1689832412 | Craig D Chappell | Neuromusculoskeletal Medicine & OMM | 1888 W 800 N, Pleasant Grove, UT 84062 | 2008-05-29 |
| 1932249299 | Dustin B. Wise, M.d., P.C. | Pediatrics | 1888 W 800 N, Pleasant Grove, UT 84062-4097 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934406 | Welcome Home Assisted Living of American Fork | Assisted Living Facility | 1889 W 930 N, Pleasant Grove, UT 84062 | 2018-09-06 |
| 1497243414 | Doterra Employee Health Systems, LLC | Family Medicine | 1364 Pleasant Grove Blvd., Floor 3, Pleasant Grove, UT 84062 | 2018-04-25 |
| 1720588080 | Us Sports Medicine, LLC | Clinic/Center | 1982 W. Pleasant Grove Blvd, Suite L, Pleasant Grove, UT 84062 | 2018-02-13 |
| 1235669011 | Rapid Reboot Recovery Products LLC | Durable Medical Equipment & Medical Supplies | 1262 W 3150 N, Pleasant Grove, UT 84062 | 2017-06-14 |
| 1497126486 | Trumobility Inc. | Durable Medical Equipment & Medical Supplies | 272 S 671 W, Pleasant Grove, UT 84062 | 2015-10-15 |
| 1295146272 | North County Medical | Chiropractor | 1988 West 930 North Suite Number A, Pleasant Grove, UT 84062 | 2014-05-13 |
| 1861814493 | Trent Edwards | Case Manager/Care Coordinator | 365 West 1420 North, Pleasant Grove, UT 84062 | 2014-01-16 |
| 1013342690 | Michael M. Haderlie | Psychologist | 233 S. Pleasant Grove Blvd, Suite 203, Pleasant Grove, UT 84062 | 2013-09-13 |
| 1194157123 | Brianna Lastre | Nurse Practitioner | 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 | 2013-08-01 |
| 1356619266 | Melinda Buchanan-emery | Marriage & Family Therapist | 459 East 1000 South, Pleasant Grove, UT 84062 | 2011-12-06 |
| Find all providers in zip 84062 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215448071 | Maddison Heyn | Pediatrics | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2017-10-19 |
| 1992240253 | Alpine Pediatrics | Pediatrics | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2016-12-22 |
| 1992190326 | Bryce Carter | Pediatrics | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2015-04-02 |
| 1740626894 | Darden Carroll Swords | Pediatrics | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2013-05-16 |
| 1437449055 | Mark B Rowan | Pediatrics | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2011-04-15 |
| 1932249299 | Dustin B. Wise, M.d., P.C. | Pediatrics | 1888 W 800 N, Pleasant Grove, UT 84062-4097 | 2007-02-07 |
| 1649295809 | Weston E. Spencer | Pediatrics | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2006-07-12 |
| 1912939786 | Alpine Pediatrics, PC | Pediatrics | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2006-07-06 |
| 1083655120 | Brett Kelsey Knorr | Pediatrics | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2006-06-09 |
| 1003855768 | Jeffery H Abram | Pediatrics | 1912 W 930 N, Pleasant Grove, UT 84062-4104 | 2006-06-06 |
| Find all providers in PLEASANT GROVE | ||||
| City | PLEASANT GROVE |
| Zip Code | 84062 |
Please comment or provide details below to improve the information on DUSTIN BRYANT WISE.
| 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.