Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1538354212 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Clyde Wise , DC

Chiropractor • Williamsport, PA

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

Registration / Start Date September 06, 2007
NPI Deactivation Date January 14, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Wise, DC was a registered Chiropractor practicing in Williamsport, PA. Throughout an active medical career spanning 12 years, Dr. Wise provided care at the practice location at 425 MARKET ST until profile deactivation on 2019-01-14.

Practice Location & Contact Primary Location

Practice Address

425 Market St

Williamsport, PA 177016345

Telephone 5703219473
Associated Practice Facility / Clinic
🏢 Linn Orthodontics, Llc Facility NPI 1912298589

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Williamsport, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.6 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
23 Specialists

Practicing in Williamsport, PA (4175 Statewide)

Telehealth Adoption Rate
0.0% 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

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License PA DC-001007-L

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Deann Hansum , PA-C

Physician Assistant

NPI 1396145413

Physician Assistant (Certified)

Dr. A Parks , DMD

Dentist - Periodontics

NPI 1699784132

Doctor of Dental Medicine

Dr. Perry Adelson , DDS

Dentist - General Practice

NPI 1710999834

Doctor of Dental Surgery

Dr. Henry Dietrich , MD

Family Medicine - Addiction Medicine

NPI 1922074046

Doctor of Medicine (M.D.)

Dr. Ifeanyi Nwadukwe , MD

Preventive Medicine - Addiction Medicine

NPI 1992207831

Doctor of Medicine (M.D.)

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 January 14, 2019

Record deactivated on January 14, 2019

NPI Profile Active September 06, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 06, 2007

Registered at 425 MARKET ST, WILLIAMSPORT, PA 177016345 (Tel: 5703219473)

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Updated Business Mailing Address September 06, 2007

Registered at 425 MARKET ST, WILLIAMSPORT, PA 177016345 (Tel: 5703219473)

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Provider Name / Credentials Updated September 06, 2007

Recorded as ROBERT WISE, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2007

Chiropractor (License #DC-001007-L in PA)

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Initial NPI Registration & Enumeration September 06, 2007

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: 1538354212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2007
Last Update: September 06, 2007
Deactivation Date: January 14, 2019

Mailing Address

425 Market St

Williamsport, PA 177016345

Phone: 5703219473

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.