MARC WENZEL (NPI# 1265709315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265709315 |
| Entity Type | Individual |
| Full Name | MARC WENZEL |
| Credential | MD |
| Practice Address |
5103 Kyle Center Dr Suite 104 Kyle TX 78640-6163 |
| Mailing Address |
1601 Rio Grande St Suite 415 Austin TX 78701-1137 |
| Practice Telephone | 5125510855 |
| Practice Fax Number | 5125510856 |
| Mailing Telephone | 5123248960 |
| Mailing Fax Number | 5123248962 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2012-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
J1426 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 114934604 | 05 |
| Street Address |
5103 KYLE CENTER DR SUITE 104 |
| City | KYLE |
| State | TX |
| Zip Code | 78640-6163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740214675 | Dayna Gwinup Diven | Dermatology | 5103 Kyle Center Dr, Suite 104, Kyle, TX 78640-6163 | 2006-07-10 |
| 1962025148 | Seton Family of Doctors | Clinic/Center | 5103 Kyle Center Dr, Suite 108, Kyle, TX 78640 | 2020-05-22 |
| 1427358100 | Texas Cardiac Arrhythmia Pllc | Internal Medicine | 5103 Kyle Center Dr, Suite 103, Kyle, TX 78640-6163 | 2010-10-27 |
| 1336456227 | Tri-county Clinical | Internal Medicine | 5103 Kyle Center Dr, Suite 104, Kyle, TX 78640-6163 | 2010-09-13 |
| 1801127535 | Darryl Camp Md, Pa | Psychiatry & Neurology | 5103 Kyle Center Dr, Suite 104, Kyle, TX 78640-7864 | 2010-01-20 |
| 1487850046 | Lotika Reena Misra | Psychiatry & Neurology | 5103 Kyle Center Dr, Suite 103, Kyle, TX 78640-6163 | 2007-06-21 |
| 1114952744 | Elizabeth Juventa Goman | Internal Medicine | 5103 Kyle Center Dr, Suite 104, Kyle, TX 78640-6163 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909853 | Advanced Spine & Wellness LLC | Chiropractor | 1101 Bunton Creek Rd., Ste. 330, Kyle, TX 78640 | 2019-12-17 |
| 1154962587 | Shelbi Hancock | Behavior Technician | 4221 Benner Road, Building 2, Suite 250, Kyle, TX 78640 | 2019-10-07 |
| 1326696469 | Robin Corina Dean | Physical Therapist | 21195b Ih35n Ste 201, Kyle, TX 78640 | 2019-09-02 |
| 1417503798 | Judson Sturdivant | Durable Medical Equipment & Medical Supplies | 1101 Bunton Creek Road, Kyle, TX 78640 | 2019-08-13 |
| 1063974152 | Fearless Functional Fitness, LLC | Physical Therapist | 140 Kirkham Circle, Kyle, TX 78640 | 2019-04-05 |
| 1639649197 | Virginia Vela | Nurse Practitioner | 180 Orion Cove, Kyle, TX 78640 | 2018-11-27 |
| 1033691878 | Keshavi Patel Pllc | Clinic/Center | 22510 Ih-35, Suite 104, Kyle, TX 78640 | 2018-08-29 |
| 1720564669 | Deborah Ann Burks | Massage Therapist | 147 Elmhurst Dr., 147 Elmhurst Dr. Ste 700, Kyle, TX 78640 | 2018-07-13 |
| 1689165995 | Daybreak Counseling Pllc | Counselor | 261 Mistletoe Ln, Kyle, TX 78640 | 2018-05-22 |
| 1194229179 | Amalia Belle Miller | Social Worker | 271 Hutton, Kyle, TX 78640 | 2018-03-22 |
| Find all providers in zip 78640 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197816 | Diabetes & Endocrinology Clinic of South Texas Pllc | Internal Medicine | 620 N Ed Carey Dr, Harlingen, TX 78550-7912 | 2020-09-05 |
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1053963389 | Ruba Riachy | Internal Medicine | The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 | 2019-07-16 |
| 1093235350 | Endo Telehealth Pllc | Internal Medicine | 12518 Cutten Rd Ste B, Houston, TX 77066-1804 | 2017-06-27 |
| 1851827331 | Texas Associates of Endocrinology & Diabetes Pa | Internal Medicine | 942 Pheasant Dr, Allen, TX 75013-4891 | 2017-05-03 |
| 1366984288 | Kateryna Komarovskiy, Md, Pllc | Internal Medicine | 150 Pine Forest Dr # 103, Shenandoah, TX 77384-5302 | 2016-11-09 |
| 1265894604 | John W. Richard, Md, Pllc | Internal Medicine | 4604 Sebago Trl, Plano, TX 75093-3394 | 2016-03-24 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1649646357 | Southeast Texas Self-management of Diabetes | Internal Medicine | 3030 North St Ste 560, Beaumont, TX 77702-1424 | 2015-08-17 |
| Find all providers with the same taxonomy | ||||
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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.