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

Dr. Paul Edward Wise, MD

Individual provider Surgery Physician · NPI 1619076056

Dr. Paul Edward Wise, MD is a Colorectal Surgery (Proctology) in Saint Louis, Missouri. Graduated from Johns Hopkins University School of Medicine in 1996, 30 years ago. Practices with Washington University, a 2,986-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
30
Trained at
Johns Hopkins University School of Medicine
Licensed in
MO
In the registry since
2006
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

4500 Forest Park Ave Div Surg Colon/rectal 5th Fl
Saint Louis, MO 63108-2114
Phone: (314) 454-7177
Fax: (888) 425-7946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 2012011934 (MO)
Surgery Physician Taxonomy 208600000X · Licence 2012011934 (MO)

Record details

NPI number1619076056
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESApril 17, 2025

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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