DR. MARK ANTHONY WENDOLOWSKI MD NPI 1396206371

NPI Information

  • NPI: 1396206371
  • Provider Name: DR. MARK ANTHONY WENDOLOWSKI, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 294 SUMMAR DR
    JACKSON, TN
    ZIP 38301
  • Phone: (731) 423-1931

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NPI Details

DR. Mark Anthony Wendolowski, MD is a family medicine in Jackson, TN with 6 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mark Anthony Wendolowski, MD NPI is 1396206371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

294 SUMMAR DR
JACKSON, TN
ZIP 38301-915
Phone: (731) 423-1931

The NPI 1396206371 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), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Detection test by immunoassay with direct visual observation for respiratory syncytial virus (HCPCS:87807)

The enumeration date for this NPI number is 3/30/2019 and was last updated on 8/4/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine41411ALABAMAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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: 3/30/2025

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