Gregg Wenger, M.D.
Individual provider Active NPI Family Medicine Physician · Sabetha, KS
NPI 1124057567 · NPPES record last updated Jan 21, 2021
Key facts
- NPI
- 1124057567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-19168 (KS)
- Practice address
- 1115 Main
Sabetha, KS 66534 - Phone
- (785) 284-2141
- Fax
- (785) 284-0445
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-19168 | KS | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-19168 | KS | Yes |
Addresses
Primary practice location
1115 Main
Sabetha, KS 66534
Mailing address
PO Box 229
Sabetha, KS 66534
Phone (785) 284-2141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100194200C | Medicaid | KS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Sabetha.Clinic@Sabetha-GPHA.CernerDirect.com | Direct | Great Plains of Sabetha Inc |
| Direct Messaging Address | Sabetha@Sabetha-GPHA.CernerDirect.com | Direct | Great Plains of Sabetha Inc |
Other providers in Sabetha, KS
- Usd 113 Prairie Hills
- Usd 441 Sabetha
- Jennifer L Voos
- Suzanne Wahwasuck
- Ann Elizabeth Wassenberg
- Whittaker and Tang, P.a.
- Whittaker Eye Associates
- Douglas Whittaker
- Kay Shin Susanna Whittaker
- Terry D Whitten
All providers in Sabetha, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.