Wendell H Kisner, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

010138 Issued in LA

Practice address

7777 Hennessy Blvd
Baton Rouge, LA 70808-4300

Phone

(225) 765-4454

Fax

(225) 765-4288

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

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)

Not 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.

• Our Lady of the Lake Hospital Inc

  dba OLOL Comprehensive Chronic Care Center

  • Plastic and Reconstructive Surgery Physician
  • Baton Rouge, LA
  • NPI 1326180696
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639872000000",
    "number": "1801887500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16025 HIGHLAND BLUFF CT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708105630",
            "telephone_number": "225-892-5602",
            "fax_number": "225-765-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-4454",
            "fax_number": "225-765-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISNER",
        "first_name": "WENDELL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "MD.010138",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "010138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1150436",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Whitlow Kirk, MD
• Kecia Kirkes, FNP
• Floyd Christopher Kirksey IV
• Larry Kirksey
• Kirsten Dantin LLC (Oasis Counseling and Supervision)
• Emily C Kissner, LCPC
• Merced Kitchen, MS, CCC-SLP
• Kith & Kin Care Givers LLC
• Karly Kitterlin
• Jerrica Watson Kitto, PA-C

• Plastic and Reconstructive Surgery Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Plastic and Reconstructive Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.