Active NPI
Loren Scott Wessel, D.P.M.
- Podiatrist
- Tucson, AZ
National Provider Identifier
1326077256
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPM0367
- Practice address
- 3722 S 16TH Ave
Tucson, AZ 85713-6080 - Phone
- (520) 882-7009
- Fax
- (520) 882-5227
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DPM0367 | AZ | Primary |
Addresses
Primary practice location
3722 S 16TH Ave
Tucson, AZ 85713-6080
Mailing address
3722 S 16TH Ave
Tucson, AZ 85713-6080
Phone (520) 882-7009
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075954 | Medicaid | AZ | |
| DPM0367 | Other | AZ | STATE LICENSE # |
| AZ0191030 | Other | AZ | BCBS PROVIDER ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0367 | AZ | MD | Acupuncturist |
| DPM0367 | AZ | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1326077256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3722 S 16TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136080",
"telephone_number": "520-882-7009",
"fax_number": "520-882-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3722 S 16TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136080",
"telephone_number": "520-882-7009",
"fax_number": "520-882-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESSEL",
"first_name": "LOREN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "DPM0367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075954",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "DPM0367",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID #",
"identifier": "AZ0191030",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.