Individual provider Active NPI

Joseph Marion Wisniewski, MD

  • Allergy & Immunology Physician
  • Chattanooga, TN
National Provider Identifier
1457346835
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
28883 Issued in TN
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

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103I112249OtherTNMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 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

Enrollment IDStateProvider typePAC IDDetails
I20040907000592 TN Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 7911973409 Reassigns benefits to 1 organization
I20190730003543 KY Practitioner - Allergy/Immunology 7911973409 Reassigns benefits to 1 organization

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
Allergy Associates, PAGroup PAC ID 1355246398, 74 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
TP563KYMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates, P.a. CurrentSince May 13, 2019 Accepting new patients
PSF PLLC Allergy & Immunology CurrentSince Jun 19, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.