D. E. Wenner III, M.D., P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD2012-0816 Issued in NM

Legal business name

D. E. WENNER III, M.D., P.C.

Practice address

1600 SE Main St
Suite F
Roswell, NM 88203-5423

Phone

(575) 623-1980

NPI assigned

Jul 17, 2013

Last updated

Jul 17, 2013By 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. Donald E Wenner III, M.D.NPI 1144487281

Title

Owner/President

Phone

(575) 623-1980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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.

• Donald E Wenner III, M.D.

  • Urology Physician
  • Roswell, NM
  • NPI 1144487281
  Medicare reassignment Care Compare group Authorized official
• Riley King, PA

  • Physician Assistant
  • Roswell, NM
  • NPI 1811884737
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1598107641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SE MAIN ST",
            "address_2": "SUITE F",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035423",
            "telephone_number": "575-623-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SE MAIN ST",
            "address_2": "SUITE F",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035423",
            "telephone_number": "575-623-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. E. WENNER III, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "WENNER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "15756231980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NM",
            "license": "MD2012-0816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laci Curry
• Tasha L Curry, DPT
• Susie A Cusack, PT
• Amanda Cutshall
• CVS Pharmacy Inc (CVS Pharmacy #11332)
• D.M.C. Hospitalist, P.C.
• John B Dacanay, MD
• Maria Klement Dahlke, PHARMD, PC
• John D Dalton, DC
• Daniel & Max, LLC (Stanton Optical)

• Urology Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Urology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.