John D Wenzel DO PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101012150 Issued in MI

Legal business name

JOHN D WENZEL DO PLLC

Practice address

1667 Hamilton Rd
Okemos, MI 48864-1809

Phone

(517) 349-9550

Fax

(517) 349-7650

NPI assigned

Aug 2, 2006

Last updated

Apr 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John D Wenzel, DONPI 1558378323

Title

Owner

Phone

(517) 349-9550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15265/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John D Wenzel, DO

  • Family Medicine Physician
  • Okemos, MI
  • NPI 1558378323
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1053328153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 HAMILTON RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641809",
            "telephone_number": "517-349-9550",
            "fax_number": "517-349-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 HAMILTON RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641809",
            "telephone_number": "517-349-9550",
            "fax_number": "517-349-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D WENZEL DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "WENZEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-349-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "0853301424",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Okemos, MI
• Providers in Okemos, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.