Richard a. Wandzel, DO PC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

5101008319 Issued in MI

Legal business name

RICHARD A. WANDZEL, DO PC

Practice address

222 W Highland Rd
Highland, MI 48357-4504

Phone

(248) 889-7600

Fax

(248) 889-5876

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard A Wandzel, D.O.NPI 1174588370

Title

Owner

Phone

(248) 889-7600

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Huron Valley Hearing, Inc

  • Audiologist-Hearing Aid Fitter
  • Highland, MI
  • NPI 1104976414
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard A Wandzel, D.O.

  • Facial Plastic Surgery Physician
  • Highland, MI
  • NPI 1174588370
  Medicare reassignment NPD Authorized official
• Jacqueline Susanne Wiegers, AU.D.

  • Audiologist
  • Highland, MI
  • NPI 1336588359
  Medicare reassignment NPD

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1225280407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574504",
            "telephone_number": "248-889-7600",
            "fax_number": "248-889-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574504",
            "telephone_number": "248-889-7600",
            "fax_number": "248-889-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. WANDZEL, DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "WANDZEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-889-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MI",
            "license": "5101008319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1751002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0456301784",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "040F370330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Facial Plastic Surgery Physician in Highland, MI
• Providers in Highland, MI by specialty
• Facial Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.