Jerry A Wishik, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0037455 Issued in FL

Practice address

620 Vonderburg Dr
Brandon, FL 33511-5971

Phone

(813) 684-1777

Fax

(813) 689-9559

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Florida College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jerry a Wishik, M.D., P.a.

  • Clinic/Center
  • Brandon, FL
  • NPI 1699710467
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396772190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115971",
            "telephone_number": "813-684-1777",
            "fax_number": "813-689-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115971",
            "telephone_number": "813-684-1777",
            "fax_number": "813-689-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHIK",
        "first_name": "JERRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0037455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell Winkle
• Ruth Ann Winkler, O.D.
• Erica Michele Winters
• Ellakaye Wisdom, ABA
• Carol Lewis Wise, OTR/L
• Anne Wissman, MSN, APRN, FNP-BC
• Lisa Wolanzyk, LCSW
• Kyle D Wolf, AA
• Shaela Lea Wolf, DPT
• Alex Robert Wollet

• Internal Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.