John E. Wise MD PA
John E. Wise MD PA is a healthcare organization registered as Legal Medicine in Hickory, NC, holding Type 2 (organization) NPI 1417042623 since 2006. The authorized official on file is John Wise, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417042623 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | John E. Wise MD PA |
| Practice address | 11 13TH AVE NE, SUITE 103, Hickory, NC, 28601 |
| Phone | 8283282094 |
| Fax | 8283288980 |
| Enumeration date | 2006-10-04 |
| Last updated in NPPES | 2008-07-07 |
Authorized official
| Name | John Wise |
|---|---|
| Title | President |
| Phone | 8283282094 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 173000000X | Legal Medicine | Primary | 11979 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8988634 | Medicaid | NC | — |
| 88634 | Other | NC | BLUE CROSS BLUE SHIELD NC |
Copy-ready billing details
Provider: John E. Wise MD PA NPI: 1417042623 Taxonomy: 173000000X (Legal Medicine) Address: 11 13TH AVE NE, SUITE 103, Hickory, NC, 28601
Verify this record
Cross-check NPI 1417042623 against the authoritative CMS record: view John E. Wise MD PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-07-07.