David J Wenzke, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35-084979 Issued in OH

Practice address

2990 Mack Rd Ste 107
Fairfield, OH 45014-5384

Phone

(513) 860-4801

Fax

(513) 682-4186

NPI assigned

Jun 7, 2006

Sex

Male

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gcga Physicians Inc.

  dba Ohio GI & Liver Institute

  • Gastroenterology Physician
  • Cincinnati, OH
  • NPI 1790851095
  Medicare reassignment NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mount Carmel Health

  dba Mt. Carmel Family Practice

  • Family Medicine Physician
  • Westerville, OH
  • NPI 1184646705
  NPD (past)
• Ohio Gastroenterology Group, Inc.

  • Gastroenterology Physician
  • Columbus, OH
  • NPI 1124197637
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1275573354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 VERNON PL STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192425",
            "telephone_number": "513-751-6667",
            "fax_number": "513-872-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 MACK RD STE 107",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145384",
            "telephone_number": "513-860-4801",
            "fax_number": "513-682-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZKE",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35-084979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2530890",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula F Weisenberger, MD
• Callie E Welch
• Tiffany Welch
• Wellhealth LLC
• Katrina Marie Wellman, LSW
• Noah Thomas West
• Rachel West
• Kim Westerkamp, RN
• Lydia Wheatley, M.A
• Suzann Jennifer Whitby, M.A., CCC-SLP

• Gastroenterology Physician in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.