Marshall T Wise, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

41014 Issued in KY

Practice address

200 Bevins LN Ste E
Georgetown, KY 40324-8532

Phone

(800) 999-1249

Fax

(855) 656-7325

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, OH2 enrollments

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 2

Specialty

Allergy/Immunology

Education

University of Louisville School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

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.

• PSF PLLC

  • Allergy & Immunology Physician
  • Louisville, KY
  • NPI 1881785947

  OH

  Medicare reassignment Care Compare group NPD
• Allergy & Asthma Associates, P. S. C

  • Specialist
  • Lexington, KY
  • NPI 1174634455
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1427105394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235440",
            "telephone_number": "800-999-1249",
            "fax_number": "855-656-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEVINS LN STE E",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248532",
            "telephone_number": "800-999-1249",
            "fax_number": "855-656-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "MARSHALL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KY",
            "license": "41014",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35.099667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne A Wims, PHARMD
• Alison R Winger, LPCC
• Alexis Winkfield
• Michael Tre Winkfield, OTD, OTR
• Kelly Wise, BCBA, LBA
• Megan Breanna Wolford, MS, RBT, BCBA
• Weslee Woolums
• WWR, PSC
• Madeline Wyatt
• Yin Fire Holistic Health LLC

• Allergy & Immunology Physician in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Allergy & Immunology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.