Lori D Wise (NPI# 1457450827, PAC ID# 0840292827) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1457450827 |
PAC ID by PECOS | 0840292827 |
Professional Enrollment ID | I20160907000407 |
Full Name | Lori D Wise |
Organization Legal Name | SALINE HEART GROUP PA |
Address |
1000 Hwy 35 N Suite 8 Benton AR 72019-2353 |
Phone Number | 5013154008 |
Gender | F |
Graduation Year | 2008 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3274510318 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
040084 | SALINE MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 | 5013154008 | SALINE HEART GROUP PA |
Organization Legal Name | SALINE HEART GROUP PA |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tyler L Childs | Physician Assistant | Saline Heart Group Pa | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 |
Stefani R Ford | Physician Assistant | Saline Heart Group Pa | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 |
Tabitha Jaggers | Physician Assistant | Saline Heart Group Pa | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 |
Paul J Baxley | Cardiovascular Disease (cardiology) | Saline Heart Group Pa | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 |
Street Address |
1000 HWY 35 N SUITE 8 |
City | BENTON |
State | AR |
Zip | 72019-2353 |
Name | Specialty | Organization | Address |
---|---|---|---|
Allan B Hatch | Cardiovascular Disease (cardiology) | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 | |
Brittany Greenwood | Registered Dietitian Or Nutrition Professional | 1000 Hwy 35 N, Suite 9, Benton, AR 72019 | |
Tyler L Childs | Physician Assistant | Saline Heart Group Pa | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 |
Stefani R Ford | Physician Assistant | Saline Heart Group Pa | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 |
Tabitha Jaggers | Physician Assistant | Saline Heart Group Pa | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 |
Kristen Allen | Registered Dietitian Or Nutrition Professional | 1000 Hwy 35 N, Suite 9, Benton, AR 72019 | |
Paul J Baxley | Cardiovascular Disease (cardiology) | Saline Heart Group Pa | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2353 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brenda H. Nobles | Psychologist, Clinical | 1511 W Sevier St, Suite C, Benton, AR 72019-2400 | |
Shannon D Parsons | Psychologist, Clinical | Alliant Behavioral Health LLC | 204 Woodland, Benton, AR 72019-2424 |
Dawn C Parsons | Psychologist, Clinical | Alliant Behavioral Health LLC | 204 Woodland, Benton, AR 72019-2424 |
Patricia G Mcgarry | Family Medicine | 6640 Congo Rd, Benton, AR 72019-6913 | |
Michael A Mcghee | Otolaryngology | Arkansas Otolaryngology Center Pa | 2305 Springhill Rd, Suite 8, Bryant, AR 72019-7560 |
Denver A Hixon | Chiropractic | 2305 Springhill Rd, Suite 10, Bryant, AR 72019-7560 | |
Rebecca J Rusnak | Qualified Audiologist | Arkansas Otolaryngology Center Pa | 2305 Springhill Rd, Suite 8, Bryant, AR 72019-7560 |
Derick R Hampel | Physical Therapy | Saline Orthopedic Group P A | 2010 Active Way, Arkansas Bone and Joint, Benton, AR 72019-7566 |
Richard D Stevens | Physical Therapy | Saline Orthopedic Group P A | 2010 Active Way, Arkansas Bone and Joint, Benton, AR 72019-7566 |
Cullen Bullard | Occupational Therapy | Saline Orthopedic Group P A | 2010 Active Way, Arkansas Bone and Joint, Benton, AR 72019-7566 |
Find all physicians in zip 72019 |
City | BENTON |
Zip Code | 72019 |
Specialty | NURSE PRACTITIONER |
City + Specialty | BENTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lori D Wise.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.