Brent J Wise (NPI# 1073753422, PAC ID# 6002965423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1073753422 |
| PAC ID by PECOS | 6002965423 |
| Professional Enrollment ID | I20150729007845 |
| Full Name | Brent J Wise |
| Organization Legal Name | PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY |
| Address |
901 Mountain View Dr Suite 1 Shelton WA 98584-4401 |
| Phone Number | 3604273625 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0345139275 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501336 | MASON GENERAL HOSPITAL & FAMILY OF CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 901 Mountain View Dr, Suite 1, Shelton, WA 98584-4401 | 3604273625 | PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY |
| Organization Legal Name | PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Matthew Woods | Podiatry | Public Hospital District No 1 of Mason County | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 |
| Erin Martinache | Clinical Social Worker | Public Hospital District No 1 of Mason County | 221 Professional Way, Shelton, WA 98584-4404 |
| Ryan J Halpin | Neurosurgery | Public Hospital District No 1 of Mason County | 939 Mountain View Dr, Suite 100, Shelton, WA 98584-4411 |
| Robert C Anderson | Certified Registered Nurse Anesthetist (crna) | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Suite 1, Shelton, WA 98584-4401 |
| Sara P Holt Knox | Nurse Practitioner | Public Hospital District No 1 of Mason County | 24261n Us Hwy, Suite 101, Hoodsport, WA 98548-9456 |
| In Kyu Yoo | Hospitalist | Public Hospital District No 1 of Mason County | 221 Professional Way, Shelton, WA 98584-4404 |
| Douglas F Lindahl | Internal Medicine | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Shelton, WA 98584-4401 |
| Deborah A Hartley | Certified Registered Nurse Anesthetist (crna) | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Suite 1, Shelton, WA 98584-4401 |
| Jennifer A Nelson | Physician Assistant | Public Hospital District No 1 of Mason County | 221 Professional Way, Shelton, WA 98584-4404 |
| Carley A Jacobs | Physician Assistant | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Shelton, WA 98584-4401 |
| Street Address |
901 MOUNTAIN VIEW DR SUITE 1 |
| City | SHELTON |
| State | WA |
| Zip | 98584-4401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Anderson | Certified Registered Nurse Anesthetist (crna) | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Suite 1, Shelton, WA 98584-4401 |
| Douglas F Lindahl | Internal Medicine | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Shelton, WA 98584-4401 |
| Deborah A Hartley | Certified Registered Nurse Anesthetist (crna) | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Suite 1, Shelton, WA 98584-4401 |
| Carley A Jacobs | Physician Assistant | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Shelton, WA 98584-4401 |
| Andrea Martin | Obstetrics/gynecology | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Shelton, WA 98584-4401 |
| Charles W Anderegg Jr. | Physician Assistant | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Shelton, WA 98584-4401 |
| Stacy Lynn Mcintyre | Certified Registered Nurse Anesthetist (crna) | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Suite 1, Shelton, WA 98584-4401 |
| Yirgalem A Tiruneh | Hospitalist | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Shelton, WA 98584-4401 |
| Carlos M Dibble | Obstetrics/gynecology | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Suite 1, Shelton, WA 98584-4401 |
| Andrew P Manista | Orthopedic Surgery | Public Hospital District No 1 of Mason County | 901 Mountain View Dr, Shelton, WA 98584-4401 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah M Magnuson-whyte | Nurse Practitioner | 1620 Olympic Hwy N, Shelton, WA 98584 | |
| Sarah B Newman | Chiropractic | 2211 Jefferson St, Shelton, WA 98584-1929 | |
| Philip Matthew Woods | Podiatry | Public Hospital District No 1 of Mason County | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 |
| James A Wright | Podiatry | Public Hospital District No 1 of Mason County | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 |
| John V Rice | Podiatry | Public Hospital District No 1 of Mason County | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 |
| Christopher W Penoyar | Family Practice | Public Hospital District No 1 of Mason County | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 |
| Terrie Lee Vann-ward | Nurse Practitioner | Behavioral Health Resources | 110 W K St, Shelton, WA 98584-2939 |
| Steven La | Optometry | 100 E Wallace Kneeland Blvd, Shelton, WA 98584-2981 | |
| Damon J Ernst | Chiropractic | 1635 Olympic Hwy N, Suite 100, Shelton, WA 98584-3065 | |
| Vince E Morson | Chiropractic | 1635 Olympic Hwy N 100, Shelton, WA 98584-3065 | |
| Find all physicians in zip 98584 | |||
| City | SHELTON |
| Zip Code | 98584 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SHELTON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.