Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1588623839 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas G. Wise , MD

Specialist • Mount Dora, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Wise has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 23, 2006
NPI Deactivation Date December 25, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Wise, MD was a registered Specialist practicing in Mount Dora, FL. Throughout an active medical career spanning 19 years, Dr. Wise provided care at the practice location at 2850 MORNINGSIDE DR until profile deactivation on 2025-12-25.

Practice Location & Contact Primary Location

Practice Address

2850 Morningside Dr

Mount Dora, FL 327576610

Telephone 3523830733
Fax 3523837112
Associated Practice Facility / Clinic
🏢 Dermatology Group Pa Facility NPI 1356300081

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mount Dora, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.5 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Mount Dora, FL (3036 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME36379

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Robert Demetrius , MD

Dermatology - Procedural Dermatology

NPI 1386603009

Doctor of Medicine (M.D.)

Dr. Michael Henner , MD

Dermatology - Dermatopathology

NPI 1396704649

Doctor of Medicine (M.D.)

NPI 1679532923

Doctor of Medicine (M.D.)

NPI 1841229259

Doctor of Medicine (M.D.)

Theresa Helsel , PA-C

Physician Assistant

NPI 1912336215

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated December 25, 2025

Record deactivated on December 25, 2025

NPI Profile Active July 02, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2010

Registered at 2850 MORNINGSIDE DR, MOUNT DORA, FL 327576610 (Tel: 3523830733)

📍
Updated Business Mailing Address July 02, 2010

Registered at 2850 MORNINGSIDE DR, MOUNT DORA, FL 327576610 (Tel: 3523830733)

👤
Provider Name / Credentials Updated July 02, 2010

Recorded as THOMAS WISE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2010

Specialist (License #ME36379 in FL)

🟢
Initial NPI Registration & Enumeration March 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Thomas Wise. Be the first to share your experience!

Sign in to leave a review for Dr. Thomas Wise

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1588623839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2006
Last Update: July 02, 2010
Deactivation Date: December 25, 2025

Mailing Address

2850 Morningside Dr

Mount Dora, FL 327576610

Phone: 3523830733

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.