Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Wise, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912438557

Amy Wise, MD is a Colorectal Surgery (Proctology) in Louisville, Kentucky. Qualified in 2017, 9 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
9
Licensed in
KY
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3999 Dutchmans Ln Ste 2E
Louisville, KY 40207-4748
Phone: (502) 559-6560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 S Jackson St, Louisville, KY 40202-1622 — (502) 852-6191

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 58532 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912438557
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2017
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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