Individual provider Active NPI

Wendell L. Diggs, PA-C

  • Medical Physician Assistant
  • Battle Creek, MI
National Provider Identifier
1033157433
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
WD001629 Issued in MI
Practice address
363 Fremont St
Ste 203
Battle Creek, MI 49017-3336
Phone
(269) 969-6123
Fax
(269) 969-6122
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5601001629 MI
Medical Physician Assistant 363AM0700X WD001629 MI Primary

Addresses

Primary practice location

363 Fremont St
Ste 203
Battle Creek, MI 49017-3336

Mailing address

200 Michigan Ave W
Ste 103
Battle Creek, MI 49017-3632
Phone (269) 441-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160802001732 MI Order and Referring Only - Physician Assistant 4183668874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601001629MIMDFamily Medicine Physician
WD001629MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dayone City Care Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-dayone

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1033157433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MICHIGAN AVE W",
            "address_2": "STE 103",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173632",
            "telephone_number": "269-441-9300",
            "fax_number": "269-441-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST",
            "address_2": "STE 203",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173336",
            "telephone_number": "269-969-6123",
            "fax_number": "269-969-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGGS",
        "first_name": "WENDELL",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5601001629",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "WD001629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.