JOHN E. WISE MD PA NPI 1417042623

NPI Information

NPI: 1417042623
Provider Name: JOHN E. WISE MD PA
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address: 11 13TH AVE NE
SUITE 103
HICKORY, NC
ZIP 28601
Phone: (828) 328-2094

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NPI Details

JOHN E. WISE MD PA is a legal medicine in Hickory, NC. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. JOHN E. WISE MD PA NPI is 1417042623. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11 13TH AVE NE
SUITE 103
HICKORY, NC
ZIP 28601-700
Phone: (828) 328-2094
Fax: (828) 328-8980

The provider's authorized official is John Edney Wise .
The authorized official title is President and has the following contact phone number (828) 328-2094.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/7/2008.

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	173000000X	Legal Medicine		11979	NORTH CAROLINA	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	C80462	MEDICARE UPIN	NORTH CAROLINA
2	8988634	MEDICAID	NORTH CAROLINA
3	201112	MEDICARE PIN	NORTH CAROLINA
4	88634	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD NC

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: 3/30/2025

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