KENDALL L WISE (NPI# 1831252014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831252014 |
| Entity Type | Individual |
| Full Name | KENDALL L WISE |
| Credential | MD |
| Practice Address |
1044 Goodlette Rd N. Naples FL 34102 |
| Mailing Address |
2234 Colonial Blvd Managed Care Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 2392615400 |
| Practice Fax Number | 2392614387 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2016-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME53290 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS FL | 05823 | 01 |
| FL | AVMED | 315207 | 01 |
| FL | RAILROAD MEDICARE | P00796370 | 01 |
| FL | BCBS | 05823 | 01 |
| FL | RRMC | 340007341 | 01 |
| FL | AETNA PROVIDER ID | 5340047 | 01 |
| FL | 038093800 | 05 | |
| FL | WELLCARE | 1193523 | 01 |
| Street Address |
1044 GOODLETTE RD N. |
| City | NAPLES |
| State | FL |
| Zip Code | 34102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1912428632 | Daily Care At Home, LLC | Home Health | 180 9th Street South, Suite 200, Naples, FL 34102 | 2017-07-03 |
| 1760737365 | Family Private Care Inc | Home Health | 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 | 2012-07-19 |
| 1013205384 | Valerie Jean Bress | Nurse Practitioner | 350 7th Street, Naples Community Hospital, Naples, FL 34102 | 2011-07-20 |
| 1154573830 | Gustavo D Rivera | Internal Medicine | 1064 Goodlette Road, Naples, FL 34102 | 2008-10-14 |
| 1881872281 | Proscan Imaging Naples, LLC | Radiology | 260 Tamiami Trail N, Naples, FL 34102 | 2008-02-07 |
| 1053595017 | Marlene Ann Diaczynsky | Registered Nurse | 350 7th Street North, Naples Community Hospital, Naples, FL 34102 | 2007-12-26 |
| 1699958330 | Georgiena Cobb | Counselor | 501 Goodlette Rd, Naples, FL 34102 | 2007-12-17 |
| 1124210158 | Maranatha Home Care, Inc. | Registered Nurse | 1164 Goodlette Road, Naples, FL 34102 | 2007-08-14 |
| 1669678645 | Naples Family Dentistry Inc | Dentist | 2176 Tamiami Trail North, Naples, FL 34102 | 2007-06-26 |
| Find all providers in zip 34102 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720300650 | Jerome Stephen Mayersak | Urology | 3480 5th Ave Nw, Naples, FL 34120-1620 | 2010-02-19 |
| 1669701918 | 21st Century Oncology LLC | Urology | 1044 Goodlette Rd N, Naples, FL 34102-5449 | 2009-12-16 |
| 1992859805 | Stuart M. Bergman | Urology | 990 Tamiami Trail North, Suite 200, Naples, FL 34102-5403 | 2007-01-22 |
| 1407905847 | David Wilkinson | Urology | 1035 Piper Blvd Unit 1, Naples, FL 34110 | 2007-01-08 |
| 1285714428 | David K Ornstein | Urology | 733 4th Ave N, Naples, FL 34102-5731 | 2006-10-16 |
| 1407820491 | Spencer Land | Urology | 1035 Piper Blvd Ste 101, Naples, FL 34110-1449 | 2006-02-15 |
| 1164407417 | Steven O Bossinger | Urology | 11181 Health Park Blvd Ste 1115, Naples, FL 34110 | 2005-12-09 |
| 1851394415 | David Spellberg | Urology | 1132 Goodlette Rd N, Naples, FL 34102-5451 | 2005-05-27 |
| 1265807804 | Naples Urology Specialists, LLC | Urology | 990 Tamiami Trl N, Naples, FL 34102-5403 | 2015-12-08 |
| 1396150140 | Elliot Blau | Urology | 1845 Veterans Park Dr, Naples, FL 34109-0493 | 2014-06-30 |
| Find all providers in NAPLES | ||||
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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.