Jeffrey J Wisniewski (NPI# 1508896614, PAC ID# 0345250684) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1508896614 |
| PAC ID by PECOS | 0345250684 |
| Professional Enrollment ID | I20060501000521 |
| Full Name | Jeffrey J Wisniewski |
| Organization Legal Name | INDIGO HOSPITAL MEDICINE - ADRIAN PLC |
| Address |
818 Riverside Ave Adrian MI 49221-1446 |
| Phone Number | 5172650900 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2668771064 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230005 | EMMA L BIXBY MEDICAL CENTER |
| 231334 | PROMEDICA HERRICK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 818 Riverside Ave, Adrian, MI 49221-1446 | 5172650900 | INDIGO HOSPITAL MEDICINE - ADRIAN PLC |
| 500 E Potawatomie St, Tecumseh, MI 49286-2018 | 5174243000 | INDIGO HOSPITAL MEDICINE - ADRIAN PLC |
| Organization Legal Name | INDIGO HOSPITAL MEDICINE - ADRIAN PLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole M Wisniewski | Physician Assistant | Indigo Hospital Medicine - Adrian Plc | 818 Riverside Ave, Adrian, MI 49221-1446 |
| Street Address |
818 RIVERSIDE AVE |
| City | ADRIAN |
| State | MI |
| Zip | 49221-1446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Prince | Pathology | Consultants In Laboratory Medicine of Greater Toledo | 818 Riverside Ave, Adrian, MI 49221-1446 |
| Rongjun Guo | Pathology | Consultants In Laboratory Medicine of Greater Toledo | 818 Riverside Ave, Adrian, MI 49221-1446 |
| Valerie R Lint | Emergency Medicine | 4m Monroe Medical Services | 818 Riverside Ave, Adrian, MI 49221-1446 |
| Melanie Blasingim | Certified Registered Nurse Anesthetist (crna) | Bixby Anesthesia Associates PC | 818 Riverside Ave, Adrian, MI 49221-1446 |
| Jacob Arthur Livermore | Diagnostic Radiology | Huron Valley Radiology PC | 818 Riverside Ave, Adrian, MI 49221-1446 |
| Shivani Patel Lasater | Emergency Medicine | 4m Monroe Medical Services | 818 Riverside Ave, Adrian, MI 49221-1446 |
| Kyle C Diaz | Emergency Medicine | 4m Monroe Medical Services | 818 Riverside Ave, Adrian, MI 49221-1446 |
| Hazem Malas | Internal Medicine | Promedica Northwest Ohio Cardiology Consultants LLC | 818 Riverside Ave, Adrian, MI 49221-1446 |
| Lixin Fan | Certified Registered Nurse Anesthetist (crna) | Bixby Anesthesia Associates PC | 818 Riverside Ave, Adrian, MI 49221-1446 |
| Neelesh V Welling | Emergency Medicine | 4m Monroe Medical Services | 818 Riverside Ave, Adrian, MI 49221-1446 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory P Shemick | Chiropractic | 3264 N Adrian Hwy, Adrian, MI 49221-1144 | |
| Alan L Ellerholz | Chiropractic | 2890 N Adrian Hwy, Adrian, MI 49221-1190 | |
| Chad W Edison | Chiropractic | 1921 Us Hwy 223, Adrian, MI 49221-1242 | |
| Tayler J Suydam | Chiropractic | 1149 Sand Creek Hwy, Unit B, Adrian, MI 49221-1288 | |
| Jonathan M Bernstein | Ophthalmology | Drs Ravin Birndorf and Ravin Inc | 1801 W Maumee St, 100 Specialty Eye Institute, Adrian, MI 49221-1291 |
| David P Trujillo | Optometry | Drs Ravin Birndorf and Ravin Inc | 1801 W Maumee St, 100 Specialty Eye Institute, Adrian, MI 49221-1291 |
| Rashawn W Venerable | Ophthalmology | Drs Ravin Birndorf and Ravin Inc | 1801 W Maumee St, 100 Specialty Eye Institute, Adrian, MI 49221-1291 |
| Neal A Tolchin | Ophthalmology | Drs Ravin Birndorf and Ravin Inc | 1801 W Maumee St, 100 Specialty Eye Institute, Adrian, MI 49221-1291 |
| Andrew Smith Jr. | Obstetrics/gynecology | 1548 W Maumee St G, Adrian, MI 49221-1382 | |
| Michele A Gardner | Obstetrics/gynecology | 1542 W Maple Ave, Adrian, MI 49221-1392 | |
| Find all physicians in zip 49221 | |||
| City | ADRIAN |
| Zip Code | 49221 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ADRIAN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jeffrey J Wisniewski.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.