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Deactivated NPI 1265476063 Deactivated / Inactive NPI Male Practitioner

Dr. David Kenneth Wise , MD

Family Medicine • Williston, FL

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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. David Wise has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2006
NPI Deactivation Date February 28, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. David Wise, MD was a registered Family Medicine practicing in Williston, FL. Throughout an active medical career spanning 18 years, Dr. Wise provided care at the practice location at 130 SW 7TH ST until profile deactivation on 2024-02-28.

Practice Location & Contact Primary Location

Practice Address

130 Sw 7th St

Williston, FL 326962404

Telephone 3525285801
Fax 3525286019
Associated Practice Facility / Clinic
🏢 Nature Coast Medical Group Pa Facility NPI 1275683682

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Williston, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.7 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Williston, FL (9978 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

Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License FL ME0011887

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Tyler Egan , PA-C

Physician Assistant

NPI 1508352915

Physician Assistant (Certified)

Cortney Aubertine , APRN

Nurse Practitioner - Family

NPI 1649993551

Advanced Practice Registered Nurse

Carolyn Dahbour , ARNP

Nurse Practitioner - Primary Care

NPI 1700820594

Advanced Registered Nurse Practitioner

Dr. Donald Mccoy , DO

Internal Medicine

NPI 1740260033

Doctor of Osteopathic Medicine (D.O.)

Dr. Gregory Stamper , DO

Internal Medicine

NPI 1790765592

Doctor of Osteopathic Medicine (D.O.)

Rita Arrington , ARNP

Nurse Practitioner - Family

NPI 1881656361

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 28, 2024

Record deactivated on February 28, 2024

NPI Profile Active July 18, 2016

NPI status registered as active in NPPES database

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Updated Practice Location July 18, 2016

Registered at 130 SW 7TH ST, WILLISTON, FL 326962404 (Tel: 3525285801)

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Updated Business Mailing Address July 18, 2016

Registered at 130 SW 7TH ST, WILLISTON, FL 326962404 (Tel: 3525285801)

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Provider Name / Credentials Updated July 18, 2016

Recorded as DAVID WISE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2016

Family Medicine (License #ME0011887 in FL)

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Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265476063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: July 18, 2016
Deactivation Date: February 28, 2024

Mailing Address

130 Sw 7th St

Williston, FL 326962404

Phone: 3525285801

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.