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DR. ROBERT JAMES WENZLER DPM NPI 1518999630


NPI Information

NPI: 1518999630
Provider Name: DR. ROBERT JAMES WENZLER, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
928 GOODMAN RD E
SUITE D
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 470-4608
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DR. Robert James Wenzler, DPM is a foot surgery podiatrist in Southaven, MS with 20 years of experience. DR. Robert James Wenzler, DPM NPI is 1518999630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

928 GOODMAN RD E
SUITE D
SOUTHAVEN, MS
ZIP 38671-824
Phone: (662) 470-4608
Fax: (662) 470-4610

The NPI 1518999630 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/7/2006 and was last updated on 8/3/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristDPM0000000655TENNESSEENo
2213ES0131XPodiatristFoot Surgery80196MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00464002OTHERTENNESSEEMEDICARE ID TYPE UNSPECIFIED
23350010MEDICARE PIN
33350010MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.