Organization Active NPI

Bariatrics of Wichita Falls PA

Doing business as Bariatrics of Texas

  • Surgery Physician
  • Wichita Falls, TX
National Provider Identifier
1386616357
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BARIATRICS OF WICHITA FALLS PA
Doing business as
Bariatrics of Texas
Practice address
# 6 Eureka Circle
Wichita Falls, TX 76308
Phone
(940) 691-0805
Fax
(940) 691-0774
NPI assigned
Feb 3, 2006
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Kenneth M Wernock, MD
Title
Owner
Phone
(940) 691-0805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

# 6 Eureka Circle
Wichita Falls, TX 76308

Mailing address

# 6 Eureka Circle
Wichita Falls, TX 76308
Phone (940) 691-0805

Other names 1

  • Bariatrics of Texas Doing business as

National Provider Directory

National Provider Directory

Locations

6 Eureka Cir
Wichita Falls, TX 76308
Phone (940) 322-1030

6 Eureka Cir
#A
Wichita Falls, TX 76308

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1386616357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "# 6 EUREKA CIRCLE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76308",
            "telephone_number": "940-691-0805",
            "fax_number": "940-691-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 6 EUREKA CIRCLE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76308",
            "telephone_number": "940-691-0805",
            "fax_number": "940-691-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIATRICS OF WICHITA FALLS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "WERNOCK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-691-0805",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bariatrics of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.