Jonathan Wise (NPI# 1588629794, PAC ID# 1456474329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1588629794 |
| PAC ID by PECOS | 1456474329 |
| Professional Enrollment ID | I20120125000322 |
| Full Name | Jonathan Wise |
| Address |
3816 Hollywood Blvd Suite 101 Hollywood FL 33021-6750 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100038 | MEMORIAL REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3816 Hollywood Blvd, Suite 101, Hollywood, FL 33021-6750 | ||
| 1 Sw 129 Ave, Suite 209, Pembroke Pines, FL 33027 |
| Street Address |
3816 HOLLYWOOD BLVD SUITE 101 |
| City | HOLLYWOOD |
| State | FL |
| Zip | 33021-6750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Rubin | Ophthalmology | 3816 Hollywood Blvd, Suite 101, Hollywood, FL 33021-6750 | |
| George F Jacobson | Podiatry | 3816 Hollywood Blvd, Suite 206, Hollywood, FL 33021-6750 | |
| Gary L Goldfaden | Dermatology | 3816 Hollywood Blvd, Hollywood, FL 33021-6750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorrett Codner | Nurse Practitioner | South Broward Hospital District | 1150 N 35th St, Suite 205a, Hollywood, FL 33021 |
| Carmen Herrera | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Sathi Ghosh | Psychiatry | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Alan S Lane | Ophthalmology | 4000 Hollywood Blvd, 180n, Hollywood, FL 33021-1204 | |
| Jeffrey E Caplan | Plastic and Reconstructive Surgery | 4330 Sheridan St, Suite 102, Hollywood, FL 33021-1406 | |
| Edward S. Wagner | Obstetrics/gynecology | Vitalmd Group Holding LLC | 4330 Sheridan St, Suite 101, Hollywood, FL 33021-1408 |
| Ravikanth Chiravuri | Cardiovascular Disease (cardiology) | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 | |
| Thomas D Rawson | Physician Assistant | Frank C Alario Md Pl | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 |
| Michael L Newman | Optometry | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Blaine S Cameron | Anesthesiology | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Find all physicians in zip 33021 | |||
| City | HOLLYWOOD |
| Zip Code | 33021 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | HOLLYWOOD + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jonathan 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.