Kent Wenger MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME86559 Issued in FL

Legal business name

KENT WENGER MD PA

Practice address

310 NW 76TH Dr
Suite a
Gainesville, FL 32607-1593

Phone

(352) 333-1109

Fax

(352) 331-6323

NPI assigned

Sep 15, 2007

Last updated

Sep 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kent Wenger, MDNPI 1588682942

Title

Owner

Phone

(352) 333-1109

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, and the practitioner matching its NPPES authorized official.

• Kent Norman Wenger, MD

  • Psychiatry Physician
  • Gainesville, FL
  • NPI 1588682942
  NPD (past) Authorized official
• William E. Beaty, PH.D.

  • Clinical Psychologist
  • Gainesville, FL
  • NPI 1801891742
  NPD (past)

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189814400000",
    "number": "1578759379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 NW 76TH DR",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071593",
            "telephone_number": "352-333-1109",
            "fax_number": "352-331-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 NW 76TH DR",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071593",
            "telephone_number": "352-333-1109",
            "fax_number": "352-331-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT WENGER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-15",
        "last_updated": "2007-09-15",
        "status": "A",
        "authorized_official_last_name": "WENGER",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-333-1109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME86559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Geisel Kennedy, LMT
• Sarah Janine Kennedy, PHARMD
• Julie-Ann Thompson Kenney
• Kevin Patrick Kenney, MD
• Morgan Mae Kenney, LCSW
• Ashley Kent
• Thomas Etheridge Kent II, MD
• Brandace Michele Kenworthy, ARNP
• Morgan Elizabeth Keppel, DPT
• Kirsten Kepple, MD

• Psychiatry Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2007; 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.