Active NPI
Thomas S Werbie, M.D.
- Orthopaedic Surgery Physician
- Kenosha, WI
National Provider Identifier
1922030030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 391442617
- Practice address
- 7401 104TH Ave
Suite 110
Kenosha, WI 53142-7845 - Phone
- (262) 764-5595
- Fax
- (262) 764-9314
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 391442617 | WI | Primary |
Addresses
Primary practice location
7401 104TH Ave
Suite 110
Kenosha, WI 53142-7845
Mailing address
7401 104TH Ave
Suite 110
Kenosha, WI 53142-7845
Phone (262) 764-5595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30521200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- thomas.werbie.p1@direct.comportho.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1922030030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 104TH AVE",
"address_2": "SUITE 110",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427845",
"telephone_number": "262-764-5595",
"fax_number": "262-764-9314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 104TH AVE",
"address_2": "SUITE 110",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427845",
"telephone_number": "262-764-5595",
"fax_number": "262-764-9314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERBIE",
"first_name": "THOMAS",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "391442617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30521200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.