Active NPI
David F Wender, MD
- Neonatal-Perinatal Medicine Physician
- Flowood, MS
National Provider Identifier
1104925882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 09575
- Practice address
- 5 River Bend Place
Suite C
Flowood, MS 39232 - Phone
- (601) 975-7345
- Fax
- (769) 251-5429
- NPI assigned
- Sep 21, 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 09575 | MS | Primary |
Addresses
Primary practice location
5 River Bend Place
Suite C
Flowood, MS 39232
Mailing address
P O Box 320039
Flowood, MS 39232
Phone (601) 957-7345
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09575 | Other | MS | MS STATE MEDICAL LIC |
| 0122948 | Medicaid | MS | |
| 00122948 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09575 | MS | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Oaks Hospital LLC | Past | Accepting new patients | |
| Roh LLC | Past | Accepting new patients | |
| Newborn Associates P a | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Interoperability endpoints
- dwender2548731@direct.casso.us.com
Organizations & group practices 3
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.
-
- Neonatal-Perinatal Medicine Physician
- Flowood, MS
- NPI 1487784898
-
- General Acute Care Hospital
- Flowood, MS
- NPI 1396792032
-
- Women's Hospital
- Jackson, MS
- NPI 1285681841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1104925882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 320039",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "601-957-7345",
"fax_number": "769-251-5924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 RIVER BEND PLACE",
"address_2": "SUITE C",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "601-975-7345",
"fax_number": "769-251-5429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDER",
"first_name": "DAVID",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MS",
"license": "09575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS STATE MEDICAL LIC",
"identifier": "09575",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0122948",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122948",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.