DR. DAVID S. WISE M.D. NPI 1780627414

NPI Information

NPI: 1780627414
Provider Name: DR. DAVID S. WISE, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
11606 MILL ROCK RD
SAN ANTONIO, TX
ZIP 78230
Phone: (210) 258-5009
Get Directions

DR. David S. Wise, M.D. is a cardiovascular disease internal medicine in San Antonio, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. David S. Wise, M.D. NPI is 1780627414. 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:

11606 MILL ROCK RD
SAN ANTONIO, TX
ZIP 78230-762
Phone: (210) 258-5009
Fax: (210) 368-9440

The NPI 1780627414 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 11/29/2016.

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	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	H8963	TEXAS	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	MDH8963	TEXAS	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	060050641	OTHER	TEXAS	RAILROAD MEDICARE NUMBER
2	113351401	MEDICAID	TEXAS
3	0063CN	OTHER	TEXAS	BLUE CROSS ID NUMBER
4	00204D	MEDICARE PIN	TEXAS

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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