WISE MEDICAL GROUP – NPI #1578603924
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.

Health Care Provider Taxonomy Code for Family Medicine

WISE MEDICAL GROUP is a provider located in COEBURN, VA. NPPES has assigned the NPI number 1578603924 to WISE MEDICAL GROUP on February 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Aug 22, 2020. 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 WISE MEDICAL GROUP below.

NPI Profile for
WISE MEDICAL GROUP

NPI Number
1578603924
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WISE MEDICAL GROUP
Primary location
203 FRONT ST WEST
COEBURN, VA 24230
Phone: (276) 395-5983 Fax: (276) 395-5986
Mailing address
PO BOX 1734
203 FRONT ST. WEST
COEBURN, VA 24230-1734
Phone: (127) 639-5598 Fax: (127) 639-5598
Organization Subpart
No
Authorized Official
ROMULO FAJARDO
PHYSICIAN
Phone: 1 (276) 395-5983
Updated
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)		 VA 0101221509

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.