Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Matthew Evert Wiisanen, MD

Individual provider Internal Medicine Physician · NPI 1215945001

Dr. Matthew Evert Wiisanen, MD is an Interventional Cardiology in Chattanooga, Tennessee. Graduated from University of Minnesota Medical School in 2005, 21 years ago. Practices with Centennial Heart LLC, a 121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky, North Dakota and Tennessee.

Years since qualifying
21
Trained at
University of Minnesota Medical School
Licensed in
KY, ND, TN
In the registry since
2006
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2205 McCallie Ave
Chattanooga, TN 37404-3230
Phone: (423) 508-6733
Fax: (423) 508-6744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 54571 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 12800 (ND)
Internal Medicine Physician Taxonomy 207R00000X · Licence 42001 (KY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 54571 (TN)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 12800 (ND)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 54571 (TN)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 12800 (ND)

Record details

NPI number1215945001
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESJanuary 31, 2022
Certification dateApril 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2005 (21 years in practice)
Group practice Centennial Heart Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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