MATTHEW K. WISE M.D. – NPI #1497798714
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

MATTHEW WISE is a physician located in FLAGSTAFF, AZ. NPPES has assigned the NPI number 1497798714 to MATTHEW WISE on June 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Jun 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MATTHEW WISE below.

NPI Profile for
MATTHEW K. WISE

NPI Number
1497798714
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MATTHEW K. WISE
Credentials
M.D.
Primary location
NAU CAMPUS HEALTH SERVICES
824 SOUTH SAN FRANCISCO ST
FLAGSTAFF, AZ 86001
Phone: (928) 523-2131 Fax: (928) 527-4327
Mailing address
PO BOX 6033
FLAGSTAFF, AZ 86011
Phone: (928) 523-2131 Fax: (928) 527-4327
Sole Proprietor
No
Updated
Certification Date
Jun 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MATTHEW WISE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAKMD8586
medicaidAZ840513
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
AK AA4327

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.