Active NPI
Michael O. Wendt, LLC
- Anesthesiology Physician
- West Columbia, SC
National Provider Identifier
1649240995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- MICHAEL O. WENDT, LLC
- Practice address
- 139 Summerplace Dr
West Columbia, SC 29169-3058 - Phone
- (803) 765-1838
- Fax
- (803) 765-1732
- NPI assigned
- Jan 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael O. Wendt, MD
- Title
- Manager/Managing Member
- Phone
- (803) 454-2600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X |
Addresses
Primary practice location
139 Summerplace Dr
West Columbia, SC 29169-3058
Mailing address
PO Box 2564
Columbia, SC 29202-2564
Phone (803) 765-1838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4114 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191456000000",
"number": "1649240995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2564",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292022564",
"telephone_number": "803-765-1838",
"fax_number": "803-765-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 SUMMERPLACE DR",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693058",
"telephone_number": "803-765-1838",
"fax_number": "803-765-1732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL O. WENDT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-26",
"last_updated": "2007-10-04",
"status": "A",
"authorized_official_last_name": "WENDT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "MANAGER/MANAGING MEMBER",
"authorized_official_telephone_number": "803-454-2600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4114",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
- Karson Matthew Messenger, OTRL
- Metro Mobile Lab Services, LLC
- Metro Treatment of South Carolina
- MH Health Care Services, PC
- Mica Pharmacy LLC
- Justin Bernard Michalski, PHARMD
- Michelle Cristina Mickens
- Mid-Carolina Infectious Diseases,LLC
- Angela Theresa Middleton, PTA
- Emily Rayna Middleton, RN, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.