William A Wegener, MD

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

MD042734E Issued in PA

Practice address

22 Stanfield Ave
Broomall, PA 19008-2743

Phone

(610) 353-4738

NPI assigned

Sep 26, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1992088975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 STANFIELD AVE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082743",
            "telephone_number": "610-353-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 STANFIELD AVE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082743",
            "telephone_number": "610-353-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGENER",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PA",
            "license": "MD042734E",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NJ",
            "license": "25MA07350900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaunise S Walker
• Akeesha M Washington
• April D Washington
• Kayla R Watson, RBT
• Tom C Watson, D.M.D.
• Hanna Chaya Weintraub, OTR/L, CLT
• Karen Weiss, LSW
• Melissa Vanderwolf Weldon, LCSW-C
• Bridgett Wendel, PHARMD
• West Chester Optometry, P.C.

• Nuclear Medicine Physician in Broomall, PA
• Providers in Broomall, PA by specialty
• Nuclear Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.