MEDICARE: DR. STEVEN LEE WISE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	01039205A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	IN1125005	OTHER	IN	MEDICARE PTAN
2	IN1127005	OTHER	IN	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740262211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN LEE WISE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 603725
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-3725
Country	:	US
Telephone Number	:	828-575-2625
Fax Number	:	828-350-2174

Provider Business Practice Location Address
First Line	:	9002 N MERIDIAN ST STE 107
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-5349
Country	:	US
Telephone Number	:	317-848-9441
Fax Number	:	317-924-8239

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	02/27/2024

Similar Medicare Providers

1396741393 — RANDALL STRATE MD
Practice Location Address:

9002 N MERIDIAN ST , STE 107
INDIANAPOLIS, IN
46260-5349

Practice Phone: 317-848-7970
Practice Fax:

1831195833 — BONNIE STRATE MD
Practice Location Address:

9002 N MERIDIAN ST , STE 107
INDIANAPOLIS, IN
46260-5349

Practice Phone: 317-848-7970
Practice Fax:

1912903915 — ASHLIE OLP MD
Practice Location Address:

9002 N MERIDIAN ST , STE 107
INDIANAPOLIS, IN
46260-5349

Practice Phone: 317-848-7970
Practice Fax:

1396746459 — DR. YARA PAULA CATOIRA-BOYLE MD
Practice Location Address:

9002 N MERIDIAN ST STE 112
INDIANAPOLIS, IN
46260-5349

Practice Phone: 317-843-9005
Practice Fax: 317-580-0443

1740262641 — DR. PINKUS GOLDBERG M.D.
Practice Location Address:

9002 N MERIDIAN ST STE 107
INDIANAPOLIS, IN
46260-5349

Practice Phone: 317-848-9441
Practice Fax: 317-924-8239

1245212141 — DR. DOUGLAS J. HORTON M.D.
Practice Location Address:

9002 N MERIDIAN ST STE 107
INDIANAPOLIS, IN
46260-5349

Practice Phone: 317-848-9441
Practice Fax: 317-924-8239

Directions to “ DR. STEVEN LEE WISE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.