Wendell Warren Wenneker, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G37197 Issued in CA

Practice address

3443 Villa LN
Suite 3
Napa, CA 94558-6417

Phone

(707) 226-2031

Fax

(707) 252-1087

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central California Inpatient Physicians

  • Surgery Physician
  • Napa, CA
  • NPI 1255579421
  NPD (past)
• Veterans Home of California

  • Skilled Nursing Facility
  • Yountville, CA
  • NPI 1104811751
  NPD (past)
• Wenneker & Loftus Inc

  • Surgery Physician
  • Napa, CA
  • NPI 1124039029
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1669480232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 VILLA LN",
            "address_2": "SUITE 3",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586417",
            "telephone_number": "707-226-2031",
            "fax_number": "707-252-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 VILLA LN",
            "address_2": "SUITE 3",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586417",
            "telephone_number": "707-226-2031",
            "fax_number": "707-252-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNEKER",
        "first_name": "WENDELL",
        "middle_name": "WARREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G37197",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G37197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G371970",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G371970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard B. Welch, MD
• Richard Anthony Welker, PHD
• Wellstride Mobility, LLC
• Victoria Welz
• Wenneker & Loftus Inc
• Alyssa Wentzel-Hernandez
• West Coast Medical Transport LLC
• Sarah Elizabeth West
• Western Dental Services, Inc
• Anmy Westphal

• Surgery Physician in Napa, CA
• Providers in Napa, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.