Active NPIIndividual providerSole proprietor

Eric Wise, MD

Pain Medicine, Interventional Pain Medicine in Bangor, Maine

NPI Number1487917704
Practice location
1365 Broadway, Bangor, ME 04401-2401
Fax
—
Last updated
January 18, 2023

Eric Wise is a Pain Medicine, Interventional Pain Medicine based in Bangor, ME. Eric Wise practices in Bangor, ME and has the professional credentials of MD. The NPI Number for Eric Wise is 1487917704 and holds a License No. MD21551 (ME). The current practice location address for Eric Wise is 1365 Broadway, Bangor, ME 04401-2401 and can be reached out via phone at 207-942-6226.

Provider Profile Details

NPI Number
1487917704
Provider Name
Eric Wise
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1365 Broadway, Bangor, ME 04401-2401
Phone Number
207-942-6226
Primary Taxonomy
Pain Medicine, Interventional Pain Medicine · 208VP0014X
Sole Proprietor
Yes
Provider Enumeration Date
June 21, 2012
Last Update Date
January 18, 2023
Certification Date
January 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1365 Broadway
Bangor, ME 04401-2401
City
Bangor
State
Maine
Zip
04401-2401
Phone Number
207-942-6226
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
403 Dow Road
Orrington, ME 04474
City
Orrington
State
ME
Zip
04474
Phone Number
610-334-2595

License Information

License Number (1)
MD21551
License State (1)
ME
Taxonomy (1)
Anesthesiology, Pain Medicine · 207LP2900X
License Number (2)
MD21551
License State (2)
ME
Taxonomy (2)
Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eric Wise, MD?

The NPI number of Eric Wise, MD is 1487917704. It was assigned on June 21, 2012 and is currently active in the NPPES registry.

What is the specialty of Eric Wise, MD?

Eric Wise, MD is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in ME under license number MD21551.

Where does Eric Wise, MD practice?

The practice location is 1365 Broadway, Bangor, ME 04401-2401. The office can be reached at 207-942-6226 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487917704 directly on the NPPES registry website.

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