William W Wennen MD Facs

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

AA1264 Issued in AK

Legal business name

WILLIAM W WENNEN MD FACS

Practice address

575 Riverstone Way
Unit 1
Fairbanks, AK 99709-2939

Phone

(907) 451-8775

Fax

(907) 451-7716

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William W Wennen, M.D.

Title

President

Phone

(907) 451-8775

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• A. Randy Lewis, LCSW

  • Clinical Social Worker
  • Fairbanks, AK
  • NPI 1588648257
  NPD (past)
• Richard Louis Hutchison

  • Orthopaedic Hand Surgery Physician
  • Gainesville, FL
  • NPI 1821029497
  NPD (past)

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1497949697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 RIVERSTONE WAY",
            "address_2": "UNIT 1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997092939",
            "telephone_number": "907-451-8775",
            "fax_number": "907-451-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERSTONE WAY",
            "address_2": "UNIT 1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997092939",
            "telephone_number": "907-451-8775",
            "fax_number": "907-451-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM W WENNEN MD FACS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "WENNEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-451-8775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AK",
            "license": "AA1264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Wilkerson, CDC I
• Terrance Wilkes
• Aryn Brooke Wilkinson
• Sarah Willey
• William Montano, M.D., Inc.
• Alicia Dawn Williams, RN
• Cheryl L. Williams, B.A.
• Christy Janette Williams, RN
• Clarice Williams
• Cortney Diane Williams

• Plastic Surgery Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Plastic Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.