Elizabeth Ann Wanek, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

38235 Issued in NC

Practice address

6 N Pointe CT
Greensboro, NC 27408-3187

Phone

(336) 545-1020

Fax

(336) 545-6090

NPI assigned

Apr 26, 2006

Sex

Female

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 5

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Preventive MedicineAlso: General Practice

Education

Creighton University School of Medicine, 1982

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Wanek Medical Center PLLC

  • General Practice Physician
  • Greensboro, NC
  • NPI 1417261116
  Medicare reassignment NPD Authorized official
• Spectramd, Inc.

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1326239328
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1811954894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N POINTE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083187",
            "telephone_number": "336-545-1020",
            "fax_number": "336-545-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N POINTE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083187",
            "telephone_number": "336-545-1020",
            "fax_number": "336-545-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANEK",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "38235",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "38325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "P4948164004",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON BLUECROSS",
            "identifier": "400071",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "85561",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985561",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020053149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaella Walton
• Stacey Walton
• Steven Michael Walton, PT
• Vance R Walton, CFO
• Wanek Medical Center PLLC
• Claire Wang
• Hao Wang, MD
• Huili Wang, SLP
• Bethany Wangelin, PH.D.
• Katherine McAlister Wangelin, MSW, LCSW

• Surgery Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.