Grace M Wenzel, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD467098 Issued in PA

Practice address

145 Hospital Ave Ste 113
Du Bois, PA 15801

Phone

(814) 375-3722

Fax

(814) 375-3086

NPI assigned

Oct 12, 2007

Last updated

Oct 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Clearfield Hospital

  • Emergency Medicine Physician
  • Clearfield, PA
  • NPI 1063456531
  NPD (past)
• Clearfield Hospital

  • General Acute Care Hospital
  • Clearfield, PA
  • NPI 1245402411
  NPD (past)
• Dubois Regional Medical Center - Penn Highlands Lung Center Clearfield

  dba Penn Highlands DuBois

  • Pulmonary Disease Physician
  • Clearfield, PA
  • NPI 1962887570
  NPD (past)

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1467640524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE STE 113",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011463",
            "telephone_number": "814-375-3722",
            "fax_number": "814-375-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE STE 113",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "15801",
            "telephone_number": "814-375-3722",
            "fax_number": "814-375-3086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Turnpike Ave",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "PA",
            "postal_code": "168301243",
            "country_code": "US",
            "telephone_number": "814-765-5341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 Turnpike Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "PA",
            "postal_code": "168301238",
            "country_code": "US",
            "telephone_number": "814-375-3722",
            "fax_number": "814-375-3086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "271 Railroad St",
            "address_purpose": "LOCATION",
            "city": "Philipsburg",
            "state": "PA",
            "postal_code": "168662300",
            "country_code": "US",
            "telephone_number": "814-375-3722",
            "fax_number": "814-375-3086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "763 Johnsonburg Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "PA",
            "postal_code": "158573417",
            "country_code": "US",
            "telephone_number": "814-375-3722",
            "fax_number": "814-375-3086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Hospital Ave Ste 113",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "15801",
            "country_code": "US",
            "telephone_number": "814-375-3722",
            "fax_number": "814-375-3086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENZEL",
        "first_name": "GRACE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "30487",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD467098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "808302",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103629311",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conda Joseph Weimer, PA-C
• Edward Lee Welch, PHYSICAL THERAPIST
• Rene L Wells, PA-C
• Alyssa Marie Welsh, LSW
• Stephanie Wenner, LSW
• Susan Wesdock, R.N.
• Jacqueline Westrick
• Loren Whaling, LCSW
• Brian P. White, M. ED.
• Sarah Gwen Whiteman

• Cardiovascular Disease Physician in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.