Wade Wenger

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0101029795 Issued in VA

Practice address

6913 N Main St
Granger, IN 46530

Phone

(574) 647-1550

NPI assigned

Jun 9, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Beacon Medical Group, Inc.

  dba Beacon Medical Group Schwartz - Wiekamp

  • Family Medicine Physician
  • Mishawaka, IN
  • NPI 1033161617
  NPD
• Maple City Emergency Physicians, LLP

  • Emergency Medicine Physician
  • La Porte, IN
  • NPI 1275558942
  NPD (past)
• Harrisonburg Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Rockingham, VA
  • NPI 1558317115
  NPD (past)
• Lexington Virginia Emergency Physicians LLP

  • Emergency Medicine Physician
  • Lexington, VA
  • NPI 1508881400
  NPD (past)
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277
  NPD (past)
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1700827821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21717 KNOBCONE CT",
            "city": "BRISTOL",
            "state": "IN",
            "postal_code": "465079690",
            "telephone_number": "574-850-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 N MAIN ST",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "46530",
            "telephone_number": "574-647-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGER",
        "first_name": "WADE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101029795",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01064515A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200886980",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaia Warner
• Aaron Weaver, DPT
• Abby Weber, COTA
• Erica Weinandy, RD
• Rita Weiss
• Elizabeth A Weston-Hammang, MD
• Wheely Care Transportation
• Christina J White, CMT
• Hannah Nicole White
• Amanda Kathryn Wilcox, EDS

• Emergency Medicine Physician in Granger, IN
• Providers in Granger, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.