MRS. SHANNON DAVIS WISE (NPI# 1891088910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891088910 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON DAVIS WISE |
| Other Name | MS. SHANNON LEIGH DAVIS |
| Credential | MD |
| Practice Address |
7273 Vanderbilt Beach Rd Ste 28 Naples FL 34119-1479 |
| Mailing Address |
Po Box 25487 Sarasota FL 34277-2487 |
| Practice Telephone | 2393065390 |
| Practice Fax Number | 2393065399 |
| Mailing Telephone | 9412025342 |
| Mailing Fax Number | 8552534836 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME120329 | FL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | ME120329 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 16178 | FL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | HV151Y | 01 |
| FL | BCBS | 14W2L | 01 |
| FL | 012206800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 730 Goodlette-frank Rd N Ste 100, Naples, FL 341025617 | 2393512990 | 2393004128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093258030 | Shannon Wise | Dietitian, Registered | 2409 Rio Mesa Dr, Austin, TX 78732-1964 | 2016-11-23 |
| 1528418019 | Shannon D Wise | Audiologist | 2495 Shreveport Hwy, Pineville, LA 71360-2004 | 2016-06-15 |
| 1558603977 | Shannon Paige Wise | Advanced Practice Midwife | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2013-03-24 |
| 1447260302 | Shannon J Wise | Chiropractor | 8481 Fishers Center Dr, Fishers, IN 46038-2318 | 2006-08-09 |
| Street Address |
7273 VANDERBILT BEACH RD STE 28 |
| City | NAPLES |
| State | FL |
| Zip Code | 34119-1479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775212 | Florida Medical Specialists, LLC | Internal Medicine | 7273 Vanderbilt Beach Rd Ste 28, Naples, FL 34119-1479 | 2020-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1437676350 | Brenda A Schlueter | Clinic/Center | 7070 Venice Way Apt 2904, Naples, FL 34119 | 2017-08-23 |
| 1457760548 | Loving Care Home Health Agency, Inc. | Home Health | 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 | 2014-08-04 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1861832941 | Queanh N Phan | Dentist | 8855 Immokalee Rd, Suite 10, Naples, FL 34119 | 2013-07-03 |
| 1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
| 1528340973 | Amy Hemsworth | Pharmacist | 13520 Tamiami Trail N, Naples, FL 34119 | 2011-09-12 |
| 1437469970 | Marika Walker | Physician Assistant | 4513 Executive Dr., Naples, FL 34119 | 2010-10-18 |
| Find all providers in zip 34119 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1023647708 | Mary Degroot | Internal Medicine | 350 Willet Ave, Naples, FL 34108-2104 | 2020-04-05 |
| 1770042970 | Carla Tricia Williams | Internal Medicine | 311 9th St N Ste 201, Naples, FL 34102-5887 | 2019-03-18 |
| 1972061570 | Suzana Tanimoto | Internal Medicine | 77 8th St S Ste B, Naples, FL 34102-6111 | 2019-03-04 |
| 1831661222 | Renewal Geriatric Primary Care Pa | Internal Medicine | 4915 Rattlesnake Hammock Rd Ste 156, Naples, FL 34113-6959 | 2018-12-22 |
| 1184119810 | Carlos Portu Md Pllc | Internal Medicine | 12250 Tamiami Trl E Ste 208, Naples, FL 34113 | 2018-06-26 |
| 1174052625 | Teng Hui | Internal Medicine | 851 5th Ave N Ste 306, Naples, FL 34102-5582 | 2017-06-08 |
| 1013448596 | Daniel Morales | Internal Medicine | 501 Goodlette Frank Rd Ste A100, Naples, FL 34102-5663 | 2017-03-25 |
| 1124414719 | Dr Richard A Saitta Md Pa | Internal Medicine | 3310 Grand Cypress Dr, Unit 202, Naples, FL 34119-7979 | 2015-04-09 |
| 1245628023 | Susan Olevia Cassidy | Internal Medicine | 2750 Gulf Shore Blvd N, 204, Naples, FL 34103-4392 | 2015-01-02 |
| 1588077697 | Mustafa Rikabi | Internal Medicine | 11190 Health Park Blvd, Naples, FL 34110-7404 | 2014-06-05 |
| 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.