CARLOS RODRIGUEZ WISE MD NPI 1497754592

NPI Information

NPI: 1497754592
Provider Name: CARLOS RODRIGUEZ WISE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1800 10TH AVE
COLUMBUS, GA
ZIP 31901
Phone: (706) 571-1120
Get Directions

Carlos Rodriguez Wise, MD is a family medicine in Columbus, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Carlos Rodriguez Wise, MD NPI is 1497754592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1800 10TH AVE
COLUMBUS, GA
ZIP 31901-513
Phone: (706) 571-1120
Fax: (706) 660-1603

The NPI 1497754592 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 2/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		00026131	ALABAMA	No
2	207Q00000X	Family Medicine		046925	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	481686160E	MEDICAID	GEORGIA
2	876520	OTHER	GEORGIA	BC/BS GEORGIA
3	009964375	MEDICAID	ALABAMA
4	08CBCGM	MEDICARE PIN	GEORGIA
5	H74468	MEDICARE UPIN	GEORGIA
6	481686160B	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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