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DR. MATTHEW EVERT WIISANEN MD NPI 1215945001


NPI Information

NPI: 1215945001
Provider Name: DR. MATTHEW EVERT WIISANEN, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
2205 MCCALLIE AVE
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 508-6733
Get Directions

DR. Matthew Evert Wiisanen, MD is an interventional cardiology internal medicine in Chattanooga, TN with 19 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Matthew Evert Wiisanen, MD NPI is 1215945001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2005

The provider's business location address is:

2205 MCCALLIE AVE
CHATTANOOGA, TN
ZIP 37404-230
Phone: (423) 508-6733
Fax: (423) 508-6744

The NPI 1215945001 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Replacement of aortic valve with prosthetic valve, accessed through the skin (HCPCS:33361)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)

The enumeration date for this NPI number is 8/4/2006 and was last updated on 1/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine12800NORTH DAKOTANo
2207R00000XInternal Medicine42001KENTUCKYNo
3207R00000XInternal Medicine54571TENNESSEENo
4207RC0000XInternal MedicineCardiovascular Disease12800NORTH DAKOTANo
5207RC0000XInternal MedicineCardiovascular Disease54571TENNESSEENo
6207RI0011XInternal MedicineInterventional Cardiology12800NORTH DAKOTANo
7207RI0011XInternal MedicineInterventional Cardiology54571TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1176925100MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.