Joseph Harold Wentzky Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

10427 Issued in SC

Practice address

340 Medical Pkwy
Suite 200
Greer, SC 29650-2441

Phone

(864) 797-9400

Fax

(864) 797-9402

NPI assigned

Aug 12, 2005

Last updated

Dec 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greenville Proaxis Therapy, LLC

  dba ATI Physical Therapy of Greenville

  • Physical Therapist
  • Greenville, SC
  • NPI 1669457859
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1861494502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "SUITE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545",
            "telephone_number": "864-797-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MEDICAL PKWY",
            "address_2": "SUITE 200",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502441",
            "telephone_number": "864-797-9400",
            "fax_number": "864-797-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZKY",
        "first_name": "JOSEPH",
        "middle_name": "HAROLD",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "10427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104274",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "576007863006",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00615797",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00801272",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Elizabeth Wehle, PHYSICAL THERAPIST
• Arlene Renee Welch, DC
• Well House Counseling Services, LLC
• Donald Weller
• Edmond Joseph Welsh, M.D.
• Sherra Lee Werkmeister, D.C.
• Ann Werner, NP
• James Renaurd West Sr., LPC
• Norman James West
• Westrol Medical Consultants (Westrol Vein Center)

• Surgery Physician in Greer, SC
• Providers in Greer, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.