Individual provider Active NPI

Marc Warner Wimpee, MD

  • Family Medicine Physician
  • San Angelo, TX
National Provider Identifier
1508894627
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G5787 Issued in TX
Practice address
1610 S Chadbourne St
San Angelo, TX 76903-8510
Phone
(325) 658-5339
Fax
(325) 486-8754
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G5787 TX Primary

Addresses

Primary practice location

1610 S Chadbourne St
San Angelo, TX 76903-8510

Mailing address

2029 W Beauregard Ave
San Angelo, TX 76901-3812
Phone (325) 658-5339

Other practice location 1

34 Buick St
San Angelo, TX 76901-4730
Phone (325) 658-5339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060822000512 TX Practitioner - Orthopedic Surgery 0648273177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Esperanza Clinic IncGroup PAC ID 7416942933, 13 clinicians

Practice addresses (Care Compare)

1610 S Chadbourne St
San Angelo, TX 76903-8510
Phone (325) 658-5339

35 E 31St St
San Angelo, TX 76903-2207
Phone (325) 658-5339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
La Esperanza Clinic Inc CurrentSince Nov 1, 2007 Accepting new patients
La Esperanza Clinic, Inc. CurrentSince Nov 1, 2007 Accepting new patients
La Esperanza Clinic, Inc. Past Accepting new patients
West Loop Medical Clinic Inc Past Accepting new patients

Locations

1610 S Chadbourne St
San Angelo, TX 76903
Phone (325) 658-5339

2029 W Beauregard Ave
San Angelo, TX 76901
Phone (325) 658-5339

35 E 31st St
Ste 1
San Angelo, TX 76903

35 E 31st St
San Angelo, TX 76903
Phone (325) 658-5339

34 Buick St
San Angelo, TX 76901
Phone (325) 658-5339

Interoperability endpoints

  • Direct secure messaging: mwimpee22319@shannonhealth.direct-ci.com

Organizations & group practices 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1508894627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 W BEAUREGARD AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013812",
            "telephone_number": "325-658-5339",
            "fax_number": "325-486-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 S CHADBOURNE ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769038510",
            "telephone_number": "325-658-5339",
            "fax_number": "325-486-8754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Buick St",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769014730",
            "country_code": "US",
            "telephone_number": "325-658-5339",
            "fax_number": "325-947-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMPEE",
        "first_name": "MARC",
        "middle_name": "WARNER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.