Daniel John Wenzl, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

00012269 Issued in AL

Practice address

203 Avalon Avenue
Suite 200
Muscle Shoals, AL 35661-2855

Phone

(256) 386-1110

Fax

(256) 386-1114

NPI assigned

Aug 30, 2006

Last updated

Dec 23, 2011By 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1912016163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 AVALON AVENUE",
            "address_2": "SUITE 200",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612855",
            "telephone_number": "256-386-1110",
            "fax_number": "256-386-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 AVALON AVENUE",
            "address_2": "SUITE 200",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612855",
            "telephone_number": "256-386-1110",
            "fax_number": "256-386-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZL",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "00012269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000060830",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0051047",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000014931",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Waycaster
• Joshua Evan Wear, DMD
• Jordan K Weaver, CRNP
• Juanita D Webb, CRNP
• Stephanie Weems, MSN/FNP/ EDD
• Timothy J Whalen, MD
• Whispering Pines Healthcare Services
• Alison Cross Wikel, RPT
• Allison Willcutt, FNP
• Lance Allen Willis, RPT

• Ophthalmology Physician in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.