William R Wise (NPI# 1841245842, PAC ID# 5698796936) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1841245842 |
| PAC ID by PECOS | 5698796936 |
| Professional Enrollment ID | I20051214000244 |
| Full Name | William R Wise |
| Organization Legal Name | COUSHATTA ER PHYSICIANS |
| Address |
1635 Marvel St Coushatta LA 71019-9022 |
| Phone Number | 3189329980 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2002 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 2860629631 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190118 | DESOTO REGIONAL HEALTH SYSTEM |
| 191312 | CHRISTUS COUSHATTA HEALTH CARE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1635 Marvel St, Coushatta, LA 71019-9022 | 3189329980 | COUSHATTA ER PHYSICIANS |
| Organization Legal Name | COUSHATTA ER PHYSICIANS |
| Physicians | 1 |
| Street Address |
1635 MARVEL ST |
| City | COUSHATTA |
| State | LA |
| Zip | 71019-9022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua R Cason | Family Medicine | Christus Health Central Louisiana | 1635 Marvel St, Coushatta, LA 71019-9022 |
| Denise Rote-hintz | Certified Registered Nurse Anesthetist (crna) | Tandem Anesthesia LLC | 1635 Marvel St, Coushatta, LA 71019-9022 |
| Gentry Lee Haughton | Podiatry | 1635 Marvel St, Coushatta, LA 71019-9022 | |
| Sean J Hintz | Certified Registered Nurse Anesthetist (crna) | Tandem Anesthesia LLC | 1635 Marvel St, Coushatta, LA 71019-9022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gavin F Chico | Internal Medicine | 1110 Ringgold Ave, Coushatta, LA 71019-9000 | |
| Lavora C Babers Wilson | Nurse Practitioner | Christus Health Central Louisiana | 1633 Marvel St, Coushatta, LA 71019-9022 |
| Pamela T Gates | Nurse Practitioner | D Gregory Bell Md and Willis-knighton Medical Center | 1633 Marvel St, Coushatta, LA 71019-9022 |
| Wyche T Coleman Jr. | General Practice | 1633 Marvel St, Coushatta, LA 71019-9022 | |
| Sean K Troxclair | Critical Care (intensivists) | Christus Health Central Louisiana | 1633 Marvel St, Coushatta, LA 71019-9022 |
| Christopher S Snead | Hematology/oncology | C H Wilkinson Physician Network | 1633 Marvel St, Coushatta, LA 71019-9022 |
| Don Bell | Family Medicine | D Gregory Bell Md and Willis-knighton Medical Center | 1633 Marvel St, Coushatta, LA 71019-9022 |
| Jeanette Tilley | Nurse Practitioner | Christus Health Central Louisiana | 1633 Marvel St, Coushatta, LA 71019-9022 |
| Durward J Thomas | Optometry | 1902 Ringgold Ave, Coushatta, LA 71019-9089 |
| City | COUSHATTA |
| Zip Code | 71019 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | COUSHATTA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on William R 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.