Penny a Wesson MD LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

46894020 Issued in WI

Legal business name

PENNY A WESSON MD LLC

Practice address

N34W28453 Taylors Woods Rd
Pewaukee, WI 53072-3365

Phone

(262) 691-3430

NPI assigned

Oct 3, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Penny Ann Wesson, MD

Title

Owner

Phone

(262) 691-3430

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1174510457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N34W28453 TAYLORS WOODS RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723365",
            "telephone_number": "262-691-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N34W28453 TAYLORS WOODS RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723365",
            "telephone_number": "262-691-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY A WESSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "WESSON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-691-3430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "46894020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34571200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bobbiejo Paul, APNP
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• Anesthesiology Physician in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Anesthesiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.