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

Paul R. Wise, PA

Individual provider Surgical Physician Assistant · NPI 1639194707

Paul R. Wise, PA is a Physician Assistant in Schenectady, New York. Qualified in 1996, 30 years ago. Practices with Ellis Hospital, a 252-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
30
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1101 Nott St
Schenectady, NY 12308-2425
Phone: (518) 243-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 006039 (NY)

Record details

NPI number1639194707
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESJuly 14, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Ellis Hospital — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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