Mark D Wendt, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0526245 Issued in KS

Practice address

629 S Plummer Ave
Chanute, KS 66720-1928

Phone

(620) 431-4000

Fax

(620) 431-7556

NPI assigned

Oct 10, 2006

Last updated

Apr 6, 2022By 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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

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 Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/a9daee2a-e42f-4702-9c42-486fbda403f6/
• Direct secure messaging: mark.wendt@khindirect.org
• Direct secure messaging: markwendt@neosho.cernerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neosho Memorial Regional Medical Center

  dba NMRMC ER Group

  • General Acute Care Hospital
  • Chanute, KS
  • NPI 1053442772
  Medicare reassignment NPD
• Neosho Memorial Regional Medical Center

  • Critical Access Hospital
  • Chanute, KS
  • NPI 1073566949
  Medicare reassignment NPD
• Neosho Memorial Regional Medical Center

  dba NMRMC Women's Health Center

  • Medical Specialty Clinic/Center
  • Chanute, KS
  • NPI 1023251469
  NPD
• Nmrmc Urology Clinic

  • Urology Physician
  • Chanute, KS
  • NPI 1760346316
  NPD
• Emergency Services of Kansas, PA

  • Internal Medicine Physician
  • Newton, KS
  • NPI 1104864503

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1396832242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S HIGHLAND AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667202409",
            "telephone_number": "620-431-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928",
            "telephone_number": "620-431-4000",
            "fax_number": "620-431-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0526245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2456456301",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "markwendt@Neosho.CernerDirect.com",
            "affiliation": "N",
            "address_1": "629 S Plummer Ave",
            "city": "Chanute",
            "state": "KS",
            "country_code": "US",
            "postal_code": "667201928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Amy Marie Weilert, DC
• Timothy D. Weilert, D.C.
• Wheatland Health Services, LLC (Angels Care Home Health)
• Amy M White Blakesley, PSYD
• Kenneth L Williams, DDS
• Steffany Dawn Wilson, LPC
• William Dean Winder

• Family Medicine Physician in Chanute, KS
• Providers in Chanute, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.