JAN M. WISTE MD
NPI 1700970597
Emergency Medicine in Albuquerque, NM

Active since October 03, 2006
1100 CENTRAL AVE SE, PMG EMERGENCY MEDICINE, ALBUQUERQUE, NM 87106(505) 841-1125(505) 841-1737 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jan M. Wiste Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAN M. WISTE MD (NPI 1700970597) is an individual emergency medicine provider in Albuquerque, New Mexico, licensed in New Mexico (81-344) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1700970597
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJAN M. WISTECredential: MD
Location Address1100 CENTRAL AVE SE, PMG EMERGENCY MEDICINEAlbuquerque, NM 87106-4930
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Fax(505) 841-1737
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 24, 2016
NPI 1700970597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NM · 81-344
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1100 CENTRAL AVE SE, Albuquerque, NM 87106

Other Identifiers 2

Medicaid00009100NM
Medicare PINP002101018NM

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Pharmacist (Pharmacotherapy)
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Pediatrics
1100 CENTRAL AVE SE, PMG PEDIATRIC URGENT CARE
ALBUQUERQUE, NM 87106
Emergency Medicine
1100 CENTRAL AVE SE, EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Student in an Organized Health Care Education/Training Program
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Community Health Worker
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Nurse Practitioner (Gerontology)
1100 CENTRAL AVE SE, PALLIATIVE CARE
ALBUQUERQUE, NM 87106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jan Wiste's NPI number?

The NPI number for Jan Wiste is 1700970597. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Jan Wiste located?

Jan Wiste practices at 1100 Central Ave SE Pmg Emergency Medicine, Albuquerque, NM 87106. The listed phone number is (505) 841-1125.

What is Jan Wiste's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Jan Wiste was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.