Wensley Ortho Labs, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

WENSLEY ORTHO LABS, INC

Practice address

1531 Westbrook Plaza Dr Ste K
Winston Salem, NC 27103

Phone

(336) 659-3595

Fax

(336) 659-3596

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea M Wensley, PMAC

Title

Co Owner

Phone

(336) 659-3595

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1184629222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 WESTBROOK PLAZA DR STE K",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031330",
            "telephone_number": "336-659-3595",
            "fax_number": "336-659-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 WESTBROOK PLAZA DR STE K",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-659-3595",
            "fax_number": "336-659-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENSLEY ORTHO LABS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "WENSLEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "336-659-3595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMAC"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0448W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703050",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER NUMBER",
            "identifier": "B3022",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PROVIDER NUMBER",
            "identifier": "36607",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795205",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Ferman Welty, CRNA
• Rheannah Wendel, LCMHCA
• Aubrey Carr Wendelboe, LPC
• Autumn Christina-Lynn Wendler, CNM
• Amy Lauren Peskoe Wenker, PHARMD
• Robert E Wensley, ORTHOTIST
• Amanda Rose Wentz
• Donald J Wenzel, MD
• Hope Werenski
• Madison Werley

• Customized Equipment (DME) in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.