DAVID J WENZKE (NPI# 1275573354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275573354 |
| Entity Type | Individual |
| Full Name | DAVID J WENZKE |
| Credential | MD |
| Practice Address |
2990 Mack Rd Ste 107 Fairfield OH 45014-5384 |
| Mailing Address |
2925 Vernon Pl Ste 100 Cincinnati OH 45219-2425 |
| Practice Telephone | 5138604801 |
| Practice Fax Number | 5136824186 |
| Mailing Telephone | 5137516667 |
| Mailing Fax Number | 5138724553 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
35-084979 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2530890 | 05 |
| Street Address |
2990 MACK RD STE 107 |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-5384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1831394667 | Nazia Hasan | Internal Medicine | 4520 Business Center Dr., Suite 180, Fairfield, CA 94534 | 2007-06-20 |
| 1124119185 | Songul Atay | Internal Medicine | 300 S Maple, Fairfield, IA 52556-3739 | 2006-09-27 |
| 1619993243 | Merle Ray Sogge | Internal Medicine | 1525 Webster St, Suite A, Fairfield, CA 94533-4935 | 2006-07-15 |
| 1922037449 | Krishnaswamy Saranga Rajan | Internal Medicine | 2741 Seminole Dr, Fairfield, CA 94534-7818 | 2006-06-30 |
| 1215980461 | Richard B Gould | Internal Medicine | 2702 Low Court, Fairfield, CA 94533 | 2006-05-18 |
| 1942285879 | Rashid Iqbal | Internal Medicine | 1261 Travis Blvd, Ste 170, Fairfield, CA 94533-4897 | 2005-12-14 |
| 1881952737 | Frances Lee | Internal Medicine | 2702 Low Ct, Fairfield, CA 94534 | 2012-04-29 |
| 1144482308 | Nicholas Lillo | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2008-06-30 |
| 1972771384 | Jefferson County Hospital | Internal Medicine | 2000 S Main St, Fairfield, IA 52556-9572 | 2008-02-19 |
| 1356558332 | Lawrence K Chan | Internal Medicine | 2702 Low Ct, Fairfield, CA 94534 | 2007-05-17 |
| Find all providers in FAIRFIELD | ||||
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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.