Daniel T Wendel, D.O.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

OS006273L Issued in PA

Practice address

5473 Village Common Dr
Suite 201
Erie, PA 16506-4961

Phone

(814) 833-3223

Fax

(814) 833-5763

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295756880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 VILLAGE COMMON DR",
            "address_2": "SUITE 201",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064961",
            "telephone_number": "814-833-3223",
            "fax_number": "814-833-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5473 VILLAGE COMMON DR",
            "address_2": "SUITE 201",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064961",
            "telephone_number": "814-833-3223",
            "fax_number": "814-833-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDEL",
        "first_name": "DANIEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "OS006273L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "742097",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014058810004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Wells
• Sierra Wells
• Wellspring of Life, LLC
• John Welsh III
• Grant David Weltlin
• Dolan Paul Wenner, D.O.
• Julie Wenslow
• Dylan Hunter Orris Wentz
• Jessica May Weryha, CRNP
• Darlene Wesley

• Urology Physician in Erie, PA
• Providers in Erie, PA by specialty
• Urology Physician in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.