Individual provider Active NPI

Kenneth L Wertzberger, M.D.

  • Orthopaedic Surgery Physician
  • Lawrence, KS
National Provider Identifier
1083672141
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0416556 Issued in KS
Practice address
907 Arkansas
Lawrence, KS 66044-3947
Phone
(785) 842-0611
Fax
(785) 842-7488
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0416556 KS Primary

Addresses

Primary practice location

907 Arkansas
Lawrence, KS 66044-3947

Mailing address

907 Arkansas
Lawrence, KS 66044-3947
Phone (785) 842-0611

Other identifiers 1

IdentifierTypeStateIssuer
100197290AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0416556KSMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SLN Medical Specialists LLC Past Accepting new patients
Cushing Hospital Physician Services L.L.C. Orthopaedic Surgery Past Accepting new patients

Organizations & group practices 2

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1083672141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 ARKANSAS",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443947",
            "telephone_number": "785-842-0611",
            "fax_number": "785-842-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 ARKANSAS",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443947",
            "telephone_number": "785-842-0611",
            "fax_number": "785-842-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTZBERGER",
        "first_name": "KENNETH",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "0416556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100197290A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.