PAUL G WENNER (NPI# 1023248614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023248614 |
| Entity Type | Individual |
| Full Name | PAUL G WENNER |
| Credential | M.D. |
| Practice Address |
901 Montgomery Street Winneshiek Medical Center Decorah IA 52101-2325 |
| Mailing Address |
901 Montgomery Street Decorah IA 52101-2325 |
| Practice Telephone | 5633822911 |
| Practice Fax Number | 5633873102 |
| Mailing Telephone | 5633822911 |
| Mailing Fax Number | 5633873102 |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2015-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 55507 | MN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 39396 | IA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 3130-850 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1032348614 | 05 | |
| IA | 1023248614 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326097882 | Paul M Wenner | Psychologist | 1555 Northway Drive, Suite 200, St Cloud, MN 56303-4913 | 2006-05-10 |
| Street Address |
901 MONTGOMERY STREET WINNESHIEK MEDICAL CENTER |
| City | DECORAH |
| State | IA |
| Zip Code | 52101-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487620688 | Mayo Clinic Hospital-rochester | Clinic/Center | 901 Montgomery Street, Decorah, IA 52101 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757911 | Andrew W Fritz | Specialist/Technologist | 700 College Drive, Regents Center, Decorah, IA 52101 | 2019-02-26 |
| 1265846935 | Amber Lynn Mccarville | Dentist | 501 Sanford, Decorah, IA 52101 | 2014-06-20 |
| 1669893988 | Winneshiek Medical Center | Clinic/Center | 112 East Main St., Ossian, IA 52101 | 2014-01-06 |
| 1467589317 | Brenda Harris | Acupuncturist | 309 West Broadway Street, Decorah, IA 52101 | 2007-02-27 |
| 1487721809 | Mary Christine Atkinson | Counselor | 1111 Paine Street, Decorah, IA 52101 | 2006-11-29 |
| 1578632220 | Kirsten Ann Ludwig | Counselor | 1111 Paine St, Decorah, IA 52101 | 2006-11-07 |
| 1760585350 | Dental Associates of Decorah PC | Dentist | 501 Sanford St, Decorah, IA 52101 | 2006-09-07 |
| 1780634196 | Theresa K Fullhart | Social Worker | 905 Montgomery Street, Decorah, IA 52101 | 2006-05-10 |
| 1205298668 | Benjamin Avi Levinson | Nurse Anesthetist, Certified Registered | 901 Montgomery St, Decorah, IA 52101 | 2016-03-24 |
| 1932588100 | Elizabeth L Abbas | Family Medicine | 1830 State Highway 9, Decorah, IA 52101 | 2015-05-21 |
| Find all providers in zip 52101 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676926 | Paul D Pellett | Family Medicine | 1830 State Highway 9, Decorah, IA 52101-7301 | 2005-06-01 |
| 1295380400 | Jennifer Marie Becker | Family Medicine | 901 Montgomery St, Decorah, IA 52101-2325 | 2019-08-05 |
| 1932588100 | Elizabeth L Abbas | Family Medicine | 1830 State Highway 9, Decorah, IA 52101 | 2015-05-21 |
| 1881004042 | Catherine A Nelson | Family Medicine | 1830 State Highway 9, Decorah, IA 52101-7301 | 2014-04-28 |
| 1437411451 | John Vogel | Family Medicine | 901 Montgomery St, Decorah, IA 52101-2325 | 2012-06-14 |
| 1013203280 | Eric William Svestka | Family Medicine | 901 Montgomery St, Decorah, IA 52101-2325 | 2011-06-25 |
| 1417242587 | Mary C Lally | Family Medicine | 901 Montgomery St, Decorah, IA 52101-2325 | 2011-06-16 |
| 1043446149 | Lisa A. Zittergruen | Family Medicine | 901 Montgomery St, Decorah, IA 52101-2325 | 2009-06-03 |
| 1639304348 | Tyler C Menke | Family Medicine | 901 Montgomery St, Decorah, IA 52101-2325 | 2009-05-26 |
| 1487805180 | Family Care Clinic PC | Family Medicine | 903 Commerce Dr, Decorah, IA 52101-2357 | 2008-10-01 |
| Find all providers in DECORAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.