David Joseph Wendling, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301044734 Issued in MI

Practice address

319 W Delaware St
Decatur, MI 49045-1106

Phone

(269) 423-7028

Fax

(269) 423-8282

NPI assigned

Mar 17, 2006

Last updated

Oct 10, 2014By 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1306815550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "BOX 42",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-423-7028",
            "fax_number": "269-423-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W DELAWARE ST",
            "city": "DECATUR",
            "state": "MI",
            "postal_code": "490451106",
            "telephone_number": "269-423-7028",
            "fax_number": "269-423-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDLING",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301044734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104994980",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306815550",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700H060020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kailey Noble
• Nicole Samaroo, MS, OTR/L
• Nicole D Summerton
• Twin Doves II LLC
• Joshua Scott Wahlstrom, MD
• Song Yol Yu, D.O.

• Family Medicine Physician in Decatur, MI
• Providers in Decatur, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.