Carl Zenz, MD,MPH

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

036.066862 Issued in IL

Practice address

S75W20937 Field Dr
Muskego, WI 53150-8934

Phone

(414) 617-3480

NPI assigned

Mar 17, 2014

Last updated

Mar 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1851717698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S75W20937 FIELD DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508934",
            "telephone_number": "414-617-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S75W20937 FIELD DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508934",
            "telephone_number": "414-617-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENZ",
        "first_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "MD,MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "IL",
            "license": "036.066862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wisconsin Dental Group, S.C. (ForwardDental Muskego)
• Lauren Wood
• Pattie Yets
• Nicholas Yeutter, DPT
• Molly Yurk, NP
• Joy Berger Zganjar
• Hannah Zimmerman, DPT

• Preventive Medicine/Occupational Environmental Medicine Physician in Muskego, WI
• Providers in Muskego, WI by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.