Marcia Lynn Wendland, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036062393 Issued in IL

Practice address

5105 W Main St
Belleville, IL 62226-4728

Phone

(618) 233-0798

Fax

(618) 233-5647

NPI assigned

Nov 10, 2005

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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 and National Provider Directory roles.

• David Rose, M.D. LTD

  • Nephrology Physician
  • Belleville, IL
  • NPI 1235267808
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1194706564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BEAVER CREEK CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035497",
            "telephone_number": "618-233-0798",
            "fax_number": "618-233-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264728",
            "telephone_number": "618-233-0798",
            "fax_number": "618-233-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDLAND",
        "first_name": "MARCIA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036062393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062393",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellness Restoration Centers of Illinois, LLC
• Wellnessone of Belleville, LLC
• Wellnessone of East Belleville, LLC
• Torrey M Welsch, PT
• Beth Welsh
• Michelle Lynn Wessel, P.T.
• John Wilson West, RPH
• Westra Wellness, S.C.
• Cynthia M Whitcher, NP
• Brandy Allison White, FNP-BC

• Nephrology Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.