Thomas D Wendel, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G86425 Issued in CA

Practice address

203 S Candy LN Ste 13Ab
Cottonwood, AZ 86326-4120

Phone

(928) 649-1389

Fax

(928) 634-5314

NPI assigned

Jul 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 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Doc Martins Inc a C C

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1699724039

  Internal Medicine

  Medicare reassignment NPD
• Emergency Group of Arizona Professional Corporation

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1215275433
  Medicare reassignment NPD
• Greater Phoenix Collaborative Care PC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1750686614
  Medicare reassignment NPD
• Greater Phoenix Collaborative Care PC

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1790581742
  NPD
• Beth Israel Medical Center

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1740378421
  NPD (past)
• Beth Israel Medical Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • New York, NY
  • NPI 1770951204
  NPD (past)
• Tuolumne General Medical Associates

  • Emergency Medicine Physician
  • Sonora, CA
  • NPI 1528151727
  NPD (past)
• Valley Emergency Physicians

  • Emergency Medicine Physician
  • Woodland, CA
  • NPI 1831129568
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1750310355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN STE 13AB",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264120",
            "telephone_number": "928-649-1389",
            "fax_number": "928-634-5314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2081 Bronze Star Dr",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "CA",
            "postal_code": "95776",
            "country_code": "US",
            "telephone_number": "530-668-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENDEL",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G86425",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G86425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G864250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Alaynick Watson, M.D.
• Jordy Weaver, FNP-C
• Samuel Weimer, M.D.
• James Kyle Weir, LMT
• Nathaniel Welly, PAC
• Sharon Marie Wenger, P.T.
• West Yavapai Guidance Clinic Inc
• Bruce Edwin Westover, D.D.S.
• Whetman Dental PLLC
• White Pearl Counseling LLC

• Emergency Medicine Physician in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.