Active NPI
Joseph Marion Wisniewski, MD
- Allergy & Immunology Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 28883
- Practice address
- 1350 Mackey Branch Dr
Ste 114
Chattanooga, TN 37421-3483 - Phone
- (423) 468-3267
- Fax
- (423) 468-3270
- NPI assigned
- Sep 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 28883 | TN | Primary |
Addresses
Primary practice location
1350 Mackey Branch Dr
Ste 114
Chattanooga, TN 37421-3483
Mailing address
12742 Highwick Cir
Knoxville, TN 37934-8105
Phone (865) 776-3733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103I112249 | Other | TN | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Tennessee, HSC, College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1317 Cumberland Falls Hwy
Suite a
Corbin, KY 40701-2720
Phone (606) 526-8108
801 N Weisgarber Rd
Suite 200
Knoxville, TN 37909-2707
Phone (865) 584-8588
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.55 of 100
- Quality
- 68.46
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 60.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP563 | KY | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Associates, P.a. | Current | Accepting new patients | |
| PSF PLLC | Allergy & Immunology | Current | Accepting new patients |
| Allergy Associates PA | Past | Accepting new patients | |
| East Tennessee Medical Group, PC | Past | Accepting new patients |
Locations
1317 Cumberland Falls Hwy
#A
Corbin, KY 40701
Phone (606) 526-8108
1350 Mackey Branch Dr
Ste 114
Chattanooga, TN 37421
Phone (423) 468-3267
801 N Weisgarber Rd
Knoxville, TN 37909
2070 Willow Loop Way
Knoxville, TN 37922
Phone (865) 200-4849
6701 Baum Dr
Ste 140
Knoxville, TN 37919
801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (655) 848-5888
Interoperability endpoints
- joseph.wisniewski@allergyasc.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Specialist
- Knoxville, TN
- NPI 1073508347
-
- Allergy & Immunology Physician
- Corbin, KY
- NPI 1760656797
-
- Allergy & Immunology Physician
- Louisville, KY
- NPI 1881785947
-
- Specialist
- Crossville, TN
- NPI 1033371398
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1942238902
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crossville, TN
- NPI 1871596403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1457346835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12742 HIGHWICK CIR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379348105",
"telephone_number": "865-776-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 MACKEY BRANCH DR",
"address_2": "STE 114",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213483",
"telephone_number": "423-468-3267",
"fax_number": "423-468-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISNIEWSKI",
"first_name": "JOSEPH",
"middle_name": "MARION",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TN",
"license": "28883",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "103I112249",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.