Allen Keith Wesley, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

40525 Issued in MN

Practice address

799 Reaney Ave
Saint Paul, MN 55106-4412

Phone

(651) 232-1700

NPI assigned

May 25, 2006

Last updated

May 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairview Health Services

  dba Fairview Emergency Medical Services

  • Land Ambulance
  • Saint Paul, MN
  • NPI 1710212485
  NPD (past)
• Healtheast Care System

  dba HealthEast Home Care

  • Home Health Agency
  • Saint Paul, MN
  • NPI 1548595218
  NPD (past)
• St Josephs Hospital of the Hospital Sisters of the Third Order of St F

  • General Acute Care Hospital
  • Chippewa Falls, WI
  • NPI 1164429908
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1144276783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E2965 BENRUD LN",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018581",
            "telephone_number": "715-878-9741",
            "fax_number": "715-878-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 REANEY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064412",
            "telephone_number": "651-232-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Beam Ave",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551091126",
            "country_code": "US",
            "telephone_number": "651-232-7348",
            "fax_number": "651-232-6665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "ALLEN",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "40525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155517100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophie Marie Wereley, MA, CCC-SLP
• Kelly Lee Werner, PT
• Joan Emily Wernick, L.I.C.S.W.
• Joely Wertz, MS CCC/SLP
• Carrie Ann Wesely, MD
• West 7TH Dental
• West Seventh Pharmacy, Inc. (West Seventh Pharmacy)
• West Side Community Health Service, Inc
• West Side Community Health Services Inc (Westside Community Health Services Pharmacy)
• West Side Community Health Services Inc (East Side Family Clinic Pharmacy)

• Emergency Medicine Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Emergency Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.