Craig D Wendt, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

70871 Issued in WI

Practice address

100 County Road B
Shawano, WI 54166-7072

Phone

(715) 524-2161

Fax

(715) 524-8164

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1174550206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14695 PARK AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201929",
            "telephone_number": "231-547-2812",
            "fax_number": "231-547-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTY ROAD B",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541667072",
            "telephone_number": "715-524-2161",
            "fax_number": "715-524-8164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14695 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "49720",
            "country_code": "US",
            "telephone_number": "231-547-2812",
            "fax_number": "231-547-3067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENDT",
        "first_name": "CRAIG",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301050053",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "70871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3293873",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• June Wawrzyniakowski, LPN
• Kimmery Weber
• Maria Wedig, OTR/L
• Rebecca L Wellner, PT
• Bryanna L Wendt, RN
• Lenore K Wespetal, CD
• Michael E West, MD
• Kadie Mae Westphal, DPT
• Jennifer Weyer, CCC-SLP
• Jessica Wiesman, RN

• Surgery Physician in Shawano, WI
• Providers in Shawano, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.