KYLE WERTZBERGER PA-C NPI 1952731200

NPI Information

NPI: 1952731200
Provider Name: KYLE WERTZBERGER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
8803 S 101ST EAST AVE STE 100
TULSA, OK
ZIP 74133
Phone: (918) 579-0220
Get Directions

Kyle Wertzberger, PA-C is a medical physician assistant in Tulsa, OK with 11 years of experience. Kyle Wertzberger, PA-C NPI is 1952731200. 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:

8803 S 101ST EAST AVE STE 100
TULSA, OK
ZIP 74133-546
Phone: (918) 579-0220
Fax: (918) 579-2309

The NPI 1952731200 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 enumeration date for this NPI number is 11/24/2013 and was last updated on 11/15/2019.

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
1	363A00000X	Physician Assistant		2326	OKLAHOMA	No
2	363AM0700X	Physician Assistant	Medical	2326	OKLAHOMA	Yes

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

NPI Synchronization or Removal

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