Joseph M Wanzek III, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3861 Issued in IA

Practice address

3434 W Broadway
Suite 100
Council Bluffs, IA 51501-3291

Phone

(712) 325-0022

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluffs Family Health Care PCGroup PAC ID 0446298061, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aseracare Hospice Hospice, Council Bluffs, IA, CCN 161532
• Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
• CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028
• Chapters Living of Council Bluffs Nursing home, Council Bluffs, IA, CCN 165466

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospice Preferred Choice, Inc.

  • Community Based Hospice Care Agency
  • Council Bluffs, IA
  • NPI 1861431728

  W-2 Managing Employee

  CMS ownership

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.

• Bluffs Family Health Care PC

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1194898296
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alegent Health Bergan Mercy Health System

  • General Acute Care Hospital
  • Council Bluffs, IA
  • NPI 1265517759
  Care Compare affiliation
• Chapters Council Bluffs Opco LLC

  • Skilled Nursing Facility
  • Council Bluffs, IA
  • NPI 1336953629

  Nursing home

  Care Compare affiliation
• Hospice Preferred Choice, Inc.

  • Community Based Hospice Care Agency
  • Council Bluffs, IA
  • NPI 1861431728
  Care Compare affiliation
• Jennie Edmundson Memorial Hospital

  • General Acute Care Hospital
  • Council Bluffs, IA
  • NPI 1457448755
  Care Compare affiliation

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1164538674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 W BROADWAY",
            "address_2": "STE 100",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013291",
            "telephone_number": "712-325-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W BROADWAY",
            "address_2": "SUITE 100",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013291",
            "telephone_number": "712-325-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANZEK",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_suffix": "III",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34008621",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016678",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy W Walker, R.D,
• Melissa Sue Walker, RN, CDE
• Walmart Inc.
• Walmart Inc.
• Caitlin Smith Walter, APRN
• Kathleen Ward, DDS
• Ciara Warden, LISW
• Lauren Elizabeth Warneke
• Richard Wayne Warner, D.D.S.
• Robert Wayne Warner, MD

• Family Medicine Physician in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.