IndividualActive
John Wise, PA-C
NPI 1376632364 · Surgical Physician Assistant · Little Rock, AR
Provider details
- NPI number
- 1376632364
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA-1232 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9601 Baptist Health Dr Ste 200
Little Rock, AR 72205-6342
Phone: (501) 223-2870
Fax: (501) 223-2258
Approximate (ZIP-level) locationGet directions
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Additional practice locations (1)
- 4301 W Markham St # 532Little Rock, AR 72205-7101Phone: (501) 686-8000Fax: (501) 526-5148
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.