Active NPI
William Wanzor, MD
- Emergency Medicine Physician
- Ellensburg, WA
National Provider Identifier
1235823634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD70082793
- Practice address
- 603 S Chestnut St
Ellensburg, WA 98926-3875 - Phone
- (509) 933-8693
- NPI assigned
- Jun 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD70082793 | WA | Primary |
Addresses
Primary practice location
603 S Chestnut St
Ellensburg, WA 98926-3875
Mailing address
3601 4TH St # Ms 6211
Lubbock, TX 79430-0002
Phone (806) 773-5148
Other practice location 1
3601 4th St # MS 6211
Lubbock, TX 79430-0002
Phone (806) 773-5148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 5299
Tacoma, WA 98415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1235823634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 4TH ST # MS 6211",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794300002",
"telephone_number": "806-773-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S CHESTNUT ST",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263875",
"telephone_number": "509-933-8693"
}
],
"practiceLocations": [
{
"address_1": "3601 4th St # MS 6211",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794300002",
"country_code": "US",
"telephone_number": "806-773-5148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANZOR",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-07",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD70082793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.
- 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.