Individual provider Active NPI

David S Wishnew, M.D.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Austin, TX
National Provider Identifier
1487661724
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
G7380 Issued in TX
Practice address
6633 E Hwy 290
Ste 101
Austin, TX 78723-1172
Phone
(512) 314-3834
Fax
(512) 314-7121
NPI assigned
Aug 1, 2006
Last updated
Nov 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X G7380 TX
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X G7380 TX
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X G7380 TX Primary

Addresses

Primary practice location

6633 E Hwy 290
Ste 101
Austin, TX 78723-1172

Mailing address

6633 E Hwy 290
Ste 101
Austin, TX 78723-1172
Phone (512) 314-3834

Other identifiers 1

IdentifierTypeStateIssuer
P000FS557MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Hyperbaric Medicine, Inc Undersea and Hyperbaric Medicine PastSince Mar 2, 2019 Accepting new patients
Innovations Wound Management, PA Past Accepting new patients
Hyperbaric Physicians of Georgia Inc Undersea and Hyperbaric Medicine Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1487661724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 E HWY 290",
            "address_2": "STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231172",
            "telephone_number": "512-314-3834",
            "fax_number": "512-314-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 E HWY 290",
            "address_2": "STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231172",
            "telephone_number": "512-314-3834",
            "fax_number": "512-314-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHNEW",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "G7380",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "G7380",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "G7380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000FS557",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.