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

Melissa Jo Wise, MD

Individual provider Dermatology Physician · NPI 1720246614

Melissa Jo Wise, MD is a Dermatology in Louisville, Kentucky. Graduated from University of Louisville School of Medicine in 2005, 21 years ago. Practices with Forefront Dermatology SC, a 645-clinician group and accepts Medicare assignment. Licensed in Kentucky and Pennsylvania.

Years since qualifying
21
Trained at
University of Louisville School of Medicine
Licensed in
KY, PA
In the registry since
2008
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

159 S English Station Rd
Louisville, KY 40245-3996
Phone: (502) 753-0056
Fax: (502) 756-0626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 43415 (KY)
Dermatology Physician Taxonomy 207N00000X · Licence MT190084 (PA)

Record details

NPI number1720246614
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2008
Last updated in NPPESMarch 17, 2021
Certification dateFebruary 24, 2021

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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