| Greg A. Wise, M.D., Inc. | |
|
5343 Hendron Rd Groveport OH 43125-1055 | |
| (614) 836-2273 | |
| (614) 836-9320 |
| Full Name | Greg A. Wise, M.D., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5343 Hendron Rd, Groveport, Ohio |
| Authorized Official Name and Position | Greg a Wise (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6148362273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg A. Wise, M.D., Inc. 5343 Hendron Rd Groveport OH 43125-1055 Ph: (614) 836-2273 | Greg A. Wise, M.D., Inc. 5343 Hendron Rd Groveport OH 43125-1055 Ph: (614) 836-2273 |
| NPI Number | 1801018924 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 07/30/2026 |
| Certification Date | 07/30/2026 |
| Medicare PECOS PAC ID | 7113950536 |
|---|---|
| Medicare Enrollment ID | O20050915001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801018924 | NPI | - | NPPES |
| 0739866 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 055595 (Ohio) | Primary |
| Provider Name | Greg Alan Wise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366413940 PECOS PAC ID: 7012941263 Enrollment ID: I20050927000147 |
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