Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNATHAN LLOYD WISE, MD
Active Sole ProprietorJOHNATHAN LLOYD WISE, MD is a Obstetrics & Gynecology healthcare provider located in THIBODAUX, Louisiana. NPI 1992125355 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · THIBODAUX, LA
Registration Details
- NPI Number
- 1992125355
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2014 (12.35131915335 yrs)
- Last Updated
- Jul 2, 2018
- License
-
MD.308148 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
406 N ACADIA RDTHIBODAUX, LA, 703014856Browse LA providers · Browse ZIP 70301
- Phone
- 9854462890
- Fax
- 9854462189
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
- Additional Specialty
- Obstetrics & Gynecology
Other Obstetrics & Gynecology Providers in THIBODAUX, LA
| Name | Credential | NPI |
|---|---|---|
| CATHERINE M DIEBOLD | M.D. | 1649381617 |
| JOHN H MILEK | M.D. | 1528179512 |
| JOHN R BLOSS | M.D. | 1841394285 |
| MRS. AMY ROUNDTREE ASHTON | MD | 1922218163 |
| NICOLE D PROSPERIE | MD | 1225229552 |
| ANNE E RODRIGUE | D.O. | 1295962165 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.