Individual provider Active NPI

Wendi A Grasman, PA

  • Allergy & Immunology Physician
  • Muskegon, MI
National Provider Identifier
1285855346
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
WG004013 Issued in MI
Practice address
6215 Harvey
Muskegon, MI 49444-9739
Phone
(231) 799-8777
Fax
(231) 798-7423
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X WG004013 MI Primary

Addresses

Primary practice location

6215 Harvey
Muskegon, MI 49444-9739

Mailing address

6215 Harvey
Muskegon, MI 49444-9739
Phone (231) 799-8777

Other names 1

  • Wendi Garzeloni Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140123000813 MI Practitioner - Physician Assistant 5496983389 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
WG004013MIMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Shore Otolaryngology PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285855346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 HARVEY",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494449739",
            "telephone_number": "231-799-8777",
            "fax_number": "231-798-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 HARVEY",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494449739",
            "telephone_number": "231-799-8777",
            "fax_number": "231-798-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASMAN",
        "first_name": "WENDI",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "WG004013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDI",
            "last_name": "GARZELONI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.