Wayne Leroy Ventling II, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

02747 Issued in IA

Practice address

4150 Kimball Avenue
Waterloo, IA 50701

Phone

(219) 235-5390

Fax

(319) 233-1630

NPI assigned

Dec 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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 Osteopathy

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285793844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 KIMBALL AVENUE",
            "address_2": "CO CINDY SNELL CEDAR VALLEY MEDICAL SPECIALISTS",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50701",
            "telephone_number": "219-235-5390",
            "fax_number": "319-233-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 KIMBALL AVENUE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50701",
            "telephone_number": "219-235-5390",
            "fax_number": "319-233-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTLING",
        "first_name": "WAYNE",
        "middle_name": "LEROY",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "02747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayachandra Babu Vavilathota, M.D
• Thomas Veiseth
• Kaci C Vela, D.D.S.
• Pradeep Kumar Velumula, MBBS
• Ramachandra Rao Vemulapalli, MD
• Veridian Fiscal Solutions LLC
• Veridian Fiscal Solutions LLC
• Amanda L. Vervaecke, A.R.N.P.
• Mary Grace Vesely, BSN, RN
• VGM Group, Inc. (Homelink)

• Diagnostic Radiology Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Diagnostic Radiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.