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

Mr. Michael D. Vissing, PA

Individual provider Physician Assistant · NPI 1831198415

Mr. Michael D. Vissing, PA is a Physician Assistant in Louisville, Kentucky. Qualified in 1988, 38 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
38
Licensed in
KY
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3991 Dutchmans Ln Ste 205
Louisville, KY 40207
Phone: (502) 899-6170
Fax: (502) 899-6179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2500 W Broadway, Louisville, KY 40211-1081 — (502) 774-6100
  • 2500 W Broadway, Louisville, KY 40211-1081 — (502) 774-6100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA063 (KY)

Record details

NPI number1831198415
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 18, 2005
Last updated in NPPESOctober 29, 2020
Certification dateOctober 29, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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