Gus S Wetzel II

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R4095 Issued in MO

Practice address

1602 N 2ND St
Clinton, MO 64735-1192

Phone

(660) 885-8171

Fax

(660) 890-8490

NPI assigned

Mar 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Golden Valley Memorial Hospital District

  • Rural Health Clinic/Center
  • Clinton, MO
  • NPI 1003873266
  Medicare reassignment NPD
• Golden Valley Memorial Hospital District

  • Clinic/Center
  • Clinton, MO
  • NPI 1396379830
  NPD
• Golden Valley Memorial Hospital District

  • General Acute Care Hospital
  • Clinton, MO
  • NPI 1710075361
  NPD
• Golden Valley Memorial Hospital District

  • Rural Health Clinic/Center
  • Warsaw, MO
  • NPI 1366490971
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1356318596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351192",
            "telephone_number": "660-890-8023",
            "fax_number": "660-890-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351192",
            "telephone_number": "660-885-8171",
            "fax_number": "660-890-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "GUS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "R4095",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R4095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "guswetzel@mhccaremail.com",
            "affiliation": "N",
            "address_1": "1602 N 2nd St",
            "city": "Clinton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647351192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jillian Wells, LMSW
• Kelly May Wenberg, CSFA
• Kirsten Weston, M.S. CF-SLP
• Mallory Westover, SLPA
• Carroll Robert Wetzel, M.D.
• Mary Allison Wetzel, CRNA
• Kristie Diane Wever, PLPC
• Emilee Wheeler
• Faith Wheeler, RBT
• Mayci Rose Wheeler, RDH

• Family Medicine Physician in Clinton, MO
• Providers in Clinton, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.