John D Wenzel, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101012150 Issued in MI

Practice address

1667 Hamilton Rd
Okemos, MI 48864-1809

Phone

(517) 349-9551

Fax

(517) 349-7650

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in MI

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://api.platform.athenahealth.com/15265/brand/1/csg/1/fhir/r4
• Direct secure messaging: john.wenzel.1@15265.direct.athenahealth.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.

• John D Wenzel DO PLLC

  • Family Medicine Physician
  • Okemos, MI
  • NPI 1053328153
  Medicare reassignment NPD Authorized official
• McLaren Medical Group

  • Diagnostic Radiology Physician
  • Lapeer, MI
  • NPI 1073650750
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558378323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 HAMILTON RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641809",
            "telephone_number": "517-349-9551",
            "fax_number": "517-349-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 HAMILTON RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641809",
            "telephone_number": "517-349-9551",
            "fax_number": "517-349-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZEL",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0853301424",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darius Wells
• Renee Wells, LPC
• Thalia Wells, BEHAVIOR TECHNICIAN
• Jamie Leigh Welsh, LMFT
• Linda Ann Welton
• Linda Wenzel
• Kimberly Wernecke
• Teresa Marie Wertheimer, MD
• Wertz Orthopedic Physical Therapy LLC
• James Baldwin Wessinger, MD

• Family Medicine Physician in Okemos, MI
• Providers in Okemos, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.