Active NPI
Kenneth L Wertzberger, M.D.
- Orthopaedic Surgery Physician
- Lawrence, KS
National Provider Identifier
1083672141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0416556
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100197290A | Medicaid | KS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0416556 | KS | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Emergency Medicine Physician
- Leavenworth, KS
- NPI 1194906644
Orthopaedic Surgery
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Kansas City, MO
- NPI 1194922740
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.