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

Marshall T Wise, MD

Individual provider Allergy & Immunology Physician · NPI 1427105394

Marshall T Wise, MD is an Allergy/Immunology in Georgetown, Kentucky. Graduated from University of Louisville School of Medicine in 2002, 24 years ago. Practices with Psf PLLC, a 99-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
24
Trained at
University of Louisville School of Medicine
Licensed in
KY, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

200 Bevins Ln Ste E
Georgetown, KY 40324-8532
Phone: (800) 999-1249
Fax: (855) 656-7325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 41014 (KY)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 35.099667 (OH)

Record details

NPI number1427105394
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing address9800 Shelbyville Rd Ste 220, Louisville, KY 40223-5440

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Psf Pllc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare