DONALD WALTER WENDT (NPI# 1710172325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710172325 |
| Entity Type | Individual |
| Full Name | DONALD WALTER WENDT |
| Credential | PA-C |
| Practice Address |
304 W Hay St Ste 111 Decatur IL 62526-6328 |
| Practice Telephone | 2178758100 |
| Practice Fax Number | 2178725486 |
| Mailing Telephone | 2178758100 |
| Mailing Fax Number | 2178725486 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2013-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085003029 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659773513 | Donald David Wendt | Physical Therapy Assistant | 27 Draper Rd, Framingham, MA 01702-8707 | 2014-09-23 |
| Street Address |
304 W HAY ST STE 111 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638072 | M Stephen Huss | Orthopaedic Surgery | 304 W Hay St, Ste 213, Decatur, IL 62526-4169 | 2005-06-09 |
| 1407397284 | Amanda Kierbs | Nurse Practitioner | 304 W Hay St, Ste 214, Decatur, IL 62526-6328 | 2017-03-14 |
| 1881901593 | Ryan Casey Williamson | Specialist/Technologist | 304 W Hay St, Suite 218, Decatur, IL 62526-6328 | 2010-09-02 |
| 1013161538 | Ranjodh Singh | Surgery | 304 W Hay St, Ste 313, Decatur, IL 62526-4167 | 2008-11-11 |
| 1801046958 | Marshall F. Brustein M.d. | Occupational Therapist | 304 W Hay St, Suite 112, Decatur, IL 62526-6328 | 2008-09-25 |
| 1912195595 | Babich Skin Care Center, Inc. | Dermatology | 304 W Hay St, Suite 313, Decatur, IL 62526-6328 | 2007-10-09 |
| 1922128388 | Decatur Neurological Associates Ltd. | Clinic/Center | 304 W Hay St, Ste 214, Decatur, IL 62526-6328 | 2007-03-30 |
| 1255465951 | M Stephen Huss M.d.,s.c. | Orthopaedic Surgery | 304 W Hay St, Suite 213, Decatur, IL 62526-6328 | 2007-03-15 |
| 1043355480 | Jms Hand Associates, S.c. | Durable Medical Equipment & Medical Supplies | 304 W Hay St, Suite 215, Decatur, IL 62526-6328 | 2007-02-21 |
| 1568507184 | Raycraft & Jones, LLC | Durable Medical Equipment & Medical Supplies | 304 W Hay St, Suite 111, Decatur, IL 62526-6328 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374860 | Lauren Nolan | Physician Assistant | 500 Irvin Ct # 200, Decatur, GA 30030-1705 | 2020-07-23 |
| 1134749930 | Elissa Stanton | Physician Assistant | 1280 Sanden Ferry Dr, Decatur, GA 30033-3346 | 2020-04-21 |
| 1902457138 | April Lynette Williams | Physician Assistant | 3669 Riverchase Ter, Decatur, GA 30034-4876 | 2019-09-29 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1124531249 | Carolina Espina | Physician Assistant | 2665 N Decatur Rd Ste 630, Decatur, GA 30033-6147 | 2017-11-10 |
| 1447703731 | Jessica Lin Brewer | Physician Assistant | 2186 Clairmont Rd, Decatur, GA 30033-1937 | 2016-08-03 |
| 1174972459 | Peter Bell | Physician Assistant | 2946 Clifton Springs Rd, Decatur, GA 30034-3820 | 2016-06-08 |
| 1902299597 | Farida Ahmadi | Physician Assistant | 200 E Ponce De Leon Ave Ste 110, Decatur, GA 30030-3467 | 2015-03-06 |
| 1730431313 | Daniel Lau | Physician Assistant | 2801 N. Decatur Road Suite 200, Decatur, GA 30033 | 2012-10-08 |
| 1720344302 | Kanwal Kapadia Lalani | Physician Assistant | 2665 N Decatur Rd Ste 430, Decatur, GA 30033-6145 | 2012-04-08 |
| Find all providers in DECATUR | ||||
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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.