GRACE M WENZEL (NPI# 1467640524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467640524 |
| Entity Type | Individual |
| Full Name | GRACE M WENZEL |
| Credential | MD |
| Practice Address |
145 Hospital Ave Ste 113 Du Bois PA 15801 |
| Mailing Address |
145 Hospital Ave Ste 113 Du Bois PA 15801-1463 |
| Practice Telephone | 8143753722 |
| Practice Fax Number | 8143753086 |
| Mailing Telephone | 8143753722 |
| Mailing Fax Number | 8143753086 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD467098 | PA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
30487 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103629311 | 05 | |
| PA | PTAN | 808302 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 145 Hospital Ave Ste 113, Du Bois, PA 15801 | 8143753722 | 8143753086 |
| 271 Railroad St, Philipsburg, PA 168662300 | 8143753722 | 8143753086 |
| 763 Johnsonburg Rd, Saint Marys, PA 158573417 | 8143753722 | 8143753086 |
| 807 Turnpike Ave Ste 110, Clearfield, PA 168301238 | 8143753722 | 8143753086 |
| 809 Turnpike Ave, Clearfield, PA 168301243 | 8147655341 |
| Street Address |
145 HOSPITAL AVE STE 113 |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811486707 | Brittany Veltri | Nurse Practitioner | 145 Hospital Ave Ste 113, Du Bois, PA 15801-1463 | 2018-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1659686970 | Prasad D Gupta | Internal Medicine | 145 Hospital Ave, Suite 113, Du Bois, PA 15801-1462 | 2010-08-11 |
| 1114170248 | Brent Aaron Barnes | Internal Medicine | 145 Hospital Ave, Suite 113, Du Bois, PA 15801-1462 | 2008-11-03 |
| 1801043146 | Steven Michael Sprankle | Internal Medicine | 145 Hospital Ave, Suite 113, Du Bois, PA 15801-1462 | 2008-08-19 |
| 1982780979 | Dubois Regional Medical Center | Internal Medicine | 145 Hospital Ave, Suite 300, Du Bois, PA 15801-1462 | 2006-10-31 |
| 1477594232 | Dubois Regional Cardiology Associates | Internal Medicine | 145 Hospital Ave, Suite 113, Du Bois, PA 15801-1462 | 2006-06-10 |
| 1437155363 | Jayaseelan Ambrose | Internal Medicine | 145 Hospital Ave, Ste 113, Du Bois, PA 15801-1463 | 2005-06-24 |
| 1902802838 | John Joon Ahn | Internal Medicine | 145 Hospital Ave, Ste 113, Du Bois, PA 15801-1463 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507445 | St. Clair Medical Services, Inc. | Internal Medicine | 363 Vanadium Rd Ste 300, Pittsburgh, PA 15243-1477 | 2020-08-07 |
| 1336772490 | Gslpg Inc | Internal Medicine | 1165 Centre Tpke, Orwigsburg, PA 17961-9343 | 2020-02-18 |
| 1215560503 | Alliance Cardiology PC | Internal Medicine | 21 Yost Blvd Ste 216, Pittsburgh, PA 15221-5283 | 2020-02-15 |
| 1366007478 | Certified Cardiology of Roxborough PC | Internal Medicine | 640 Anthony Rd, Elkins Park, PA 19027-1702 | 2019-05-03 |
| 1023576436 | Mark J. Geller, Md, LLC | Internal Medicine | 121 Freeport Rd Ste 200, Blawnox, PA 15238-3411 | 2019-03-05 |
| 1215437173 | Walter Herman | Internal Medicine | 275 N Latches Ln, Merion Station, PA 19066-1726 | 2018-02-17 |
| 1780198754 | William Sigmund | Internal Medicine | 608 Spruce St, Philadelphia, PA 19106-4114 | 2017-11-28 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1831637263 | Your Travel Health LLC | Internal Medicine | 847 Youngs Ford Rd, Gladwyne, PA 19035-1610 | 2017-02-06 |
| 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.