Individual provider Active NPI

Eric Joseph Wenzinger

  • Plastic Surgery Physician
  • Charleston, SC
National Provider Identifier
1447754155
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
95681 Issued in SC
Practice address
1674 Folly Rd Apt 715
Charleston, SC 29412-8720
Phone
(803) 931-6089
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 95681 SC Primary

Addresses

Primary practice location

1674 Folly Rd Apt 715
Charleston, SC 29412-8720

Mailing address

1674 Folly Rd Apt 715
Charleston, SC 29412-8720
Phone (617) 655-4028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20260120003500 SC Practitioner - Plastic and Reconstructive Surgery 3971855107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, shared by 2 NPIs, 541 clinicians

Practice addresses (Care Compare)

401 E Cheves St
Suite 302
Florence, SC 29506-2615
Phone (843) 777-9360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark J Segal MD LLC CurrentSince Jan 6, 2026 Accepting new patients
Port City Plastic Surgery, LLC CurrentSince Jan 6, 2026 Accepting new patients

Locations

2683 Lake Park Dr
North Charleston, SC 29406
Phone (843) 518-5000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1447754155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 FOLLY RD APT 715",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128720",
            "telephone_number": "617-655-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 FOLLY RD APT 715",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128720",
            "telephone_number": "803-931-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZINGER",
        "first_name": "ERIC",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "95681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.