Active NPI
Megan Wenger, MS, LAT, ATC
- Sports Medicine (Preventive Medicine) Physician
- Cedar Rapids, IA
National Provider Identifier
1619640885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- License
- 092086
- Practice address
- 1220 1St Ave NE
Cedar Rapids, IA 52402-5008 - Phone
- (319) 533-3950
- NPI assigned
- Jul 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | 092086 | IA | Primary |
Addresses
Primary practice location
1220 1St Ave NE
Cedar Rapids, IA 52402-5008
Mailing address
2802 Shaman Ave SW
Cedar Rapids, IA 52404-4883
Phone (319) 533-3950
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwenger@coe.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092086 | IA | MD | Sports Medicine (Preventive Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1619640885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2802 SHAMAN AVE SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524044883",
"telephone_number": "319-533-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 1ST AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025008",
"telephone_number": "319-533-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENGER",
"first_name": "MEGAN",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "IA",
"license": "092086",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwenger@coe.edu",
"affiliation": "N",
"endpointDescription": "Work E-Mail",
"address_1": "1220 1st Ave NE",
"city": "Cedar Rapids",
"state": "IA",
"country_code": "US",
"postal_code": "524025008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.