DR. JEFFREY L WISNESKI (NPI# 1053309070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053309070 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY L WISNESKI |
| Credential | AU.D |
| Practice Address |
655 7th St 78 Mdg Robins Afb GA 31098-2227 |
| Practice Telephone | 4783277615 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | A01274 | OH | Speech, Language and Hearing Service Providers |
| Street Address |
655 7TH ST 78 MDG |
| City | ROBINS AFB |
| State | GA |
| Zip Code | 31098-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598120479 | Marita Radloff | Dietitian, Registered | 655 7th St, Bldg 700/700-a, Robins Afb, GA 31098-2227 | 2015-12-21 |
| 1619373479 | Tandra Hunter | Social Worker | 655 7th St, Bldg 700, Robins Afb, GA 31098-2227 | 2014-11-06 |
| 1245579440 | Candi Calderon | Nurse Practitioner | 655 7th St, Robins Afb, GA 31098-2227 | 2013-02-07 |
| 1679866453 | Cody Ross Butler | Physical Therapist | 655 7th St, Bldg 700, Robins Afb, GA 31098-2227 | 2011-05-26 |
| 1336472307 | Robert Wilson IIi | Military Health Care Provider | 655 7th St, Robins Afb, GA 31098-2227 | 2009-09-09 |
| 1558505941 | Natasha Latryce Walker | Military Health Care Provider | 655 7th St, Robins Afb, GA 31098-2227 | 2009-04-29 |
| 1326282815 | John W Cleaves | Military Health Care Provider | 655 7th St, Robins Afb, GA 31098-2227 | 2009-04-28 |
| 1114169521 | Tracy Turner Snider | Social Worker | 655 7th St, Building 700/700-a, Robins Afb, GA 31098-2227 | 2009-03-31 |
| 1689886137 | Linda Munro Psy D Pa | Military Hospital | 655 7th St, Bldg 700/700-a, Robins Afb, GA 31098-2227 | 2007-05-05 |
| 1659403509 | Cathleen Ann Steele-hall | Dental Hygienist | 655 7th St, 78th Mdg Sghc, Robins Afb, GA 31098-2227 | 2007-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043679426 | Lori Demello | Behavioral Analyst | 477 Holly Drive, Warner Robins, GA 31098 | 2016-02-15 |
| 1760885057 | John A Kauderman Jr. | Optometrist | 655 South 7th St Bldg 700/700a, Robins Afb, GA 31098 | 2014-10-01 |
| 1255757183 | Damon Jamel Murphy | Psychologist | 655 South 7th St Bldg 700, 78 Mdg/sgpo, Robins Afb, GA 31098 | 2014-03-17 |
| 1548697485 | John Dye Jr. | Military Health Care Provider | 655 Seventh St., Robins Afb, GA 31098 | 2013-10-10 |
| 1881028009 | Michael Adam Lang | General Practice | Building 700a, Robins Afb, GA 31098 | 2013-08-23 |
| 1902243876 | Victor D Parker IIi | Military Health Care Provider | 78th Medical Group Sghc, 655 Seventh Street, Robins Afb, GA 31098 | 2013-05-31 |
| 1851646830 | David Alan Lunsford Jr. | Physical Therapist | 655 South 7th St Bldg 700/700-a, 78 Mdg/sgoy, Robins Afb, GA 31098 | 2012-07-17 |
| 1972880979 | Leighcraft A Shakes | Pharmacist | 655 7th St Bldg 700a7878, Robins Afb, GA 31098 | 2011-11-04 |
| 1154625101 | Carolina Anna Perez | Counselor | 655 Seventh Street, Robins Afb, Warner Robines, GA 31098 | 2011-01-05 |
| 1811128754 | Shawn Christopher Moore | Military Health Care Provider | 655th 7th Street, Robins Afb, GA 31098 | 2009-07-27 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679191191 | Ashley Deneen Wright | Audiologist | 2500 Hospital Blvd Ste 450, Roswell, GA 30076-4919 | 2020-07-10 |
| 1932726833 | Brittany Mackey Coy | Audiologist | 950 15th St # 126d, Augusta, GA 30901-2608 | 2020-06-26 |
| 1568085777 | Lauren E Hall | Audiologist | 6084 Lakeview Rd, Warner Robins, GA 31088-9174 | 2020-05-21 |
| 1518591536 | Carlotta A Cuthbertson | Audiologist | 2781 Joel Pl, Atlanta, GA 30360-1415 | 2020-02-28 |
| 1306489851 | Alexis Brooke Goldberg | Audiologist | 960 Johnson Fy Rd Ne Ste 144, Atlanta, GA 30342-1601 | 2019-10-28 |
| 1316580137 | Tia Mcdonald | Audiologist | 5200 Greystone Summit Dr Apt 1013, Columbus, GA 31909-7556 | 2019-10-24 |
| 1558917252 | Hannah Grace Laplante | Audiologist | 2301 Newnan Crossing Blvd E Ste 160, Newnan, GA 30265-2542 | 2019-08-18 |
| 1700432242 | Leah Kristen Horn | Audiologist | 1670 Clairmont Rd # 126, Decatur, GA 30033-4004 | 2019-08-12 |
| 1194378109 | Katie Miller | Audiologist | 3225 Cumberland Blvd Se Ste 175, Atlanta, GA 30339-6407 | 2019-07-18 |
| 1720631047 | Greater Atlanta Hearing P C | Audiologist | 564 Peachtree Pkwy Ste 106, Cumming, GA 30041-7401 | 2019-07-17 |
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| City | ROBINS AFB |
| Zip Code | 31098 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.