Kirk Joseph Wangensteen (NPI# 1104067123, PAC ID# 8527358647) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1104067123 |
| PAC ID by PECOS | 8527358647 |
| Professional Enrollment ID | I20160602000510 |
| Full Name | Kirk Joseph Wangensteen |
| Organization Legal Name | UNIVERSITY OF PENN MEDICAL GROUP |
| Address |
3400 Spruce St Philadelphia PA 19104-4238 |
| Phone Number | 2153498222 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2009 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 6204730955 |
| Number of Group Practice Members | 2443 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390111 | HOSPITAL OF UNIV OF PENNSYLVANIA |
| 390223 | PENN PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3400 Spruce St, Philadelphia, PA 19104-4238 | 2153498222 | UNIVERSITY OF PENN MEDICAL GROUP |
| Organization Legal Name | UNIVERSITY OF PENN MEDICAL GROUP |
| Physicians | 2545 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Price | Physician Assistant | University of Penn Medical Group | 3400 Spruce Street 5 White Bldg, Oral and Maxillofacial Surgery Hup, Philadelphia, PA 19104-4206 |
| Zachary James Gaskill | Family Medicine | University of Penn Medical Group | 3620 Hamilton Walk Fl, 1 John Morgan Bldg Hyperbaric Medicine, Philadelphia, PA 19104-4800 |
| Jane Han | Physical Medicine and Rehabilitation | University of Penn Medical Group | 800 Spruce Street 10th Floor, Pah Inpatient Consult Services, Philadelphia, PA 19107-5701 |
| Meaghan Sarah Roche | Nephrology | University of Penn Medical Group | 51 N 39th Street 2 Mob, Uphs/presbyterian Division of Renal Electrolyte, Philadelphia, PA 19104-2640 |
| Janae Kathleen Heath | Pulmonary Disease | University of Penn Medical Group | 3400 Civic Ctr Blvd 1st, Harron Lung PCam, Philadelphia, PA 19104-4306 |
| Lauren Boccagno | Nurse Practitioner | University of Penn Medical Group | 3823 Market St, Philadelphia, PA 19104-3145 |
| Davoren Ann Chick | Hospitalist | University of Penn Medical Group | 51 N 39th Stret, Hospital Med Presby, Philadelphia, PA 19104-2640 |
| Michelle Liana Hershman | Diagnostic Radiology | University of Penn Medical Group | 1840 S St, Suite 3, Philadelphia, PA 19146-7422 |
| Marian Vanlandingham Moseley | Psychiatry | University of Penn Medical Group | 3535 Market St, 5th, Philadelphia, PA 19104-3309 |
| Robert E Burke | Internal Medicine | University of Penn Medical Group | 3615 Chestnut St, Philadelphia, PA 19104-2612 |
| Street Address |
3400 SPRUCE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19104-4238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel M Stein | Diagnostic Radiology | University of Penn Medical Group | 3400 Spruce St, Philadelphia, PA 19104-4238 |
| Meredith A Spindler | Neurology | University of Penn Medical Group | 3400 Spruce St, Philadelphia, PA 19104-4238 |
| Jason Thomas Ackrivo | Pulmonary Disease | University of Penn Medical Group | 3400 Spruce St, Fl 3, Philadelphia, PA 19104-4229 |
| David Micheal Dibardino | Critical Care (intensivists) | University of Penn Medical Group | 3400 Spruce St, Fl 3, Philadelphia, PA 19104-4229 |
| Nicholas Kian Mollanazar | Dermatology | University of Penn Medical Group | 3400 Spruce St, Philadelphia, PA 19104-4238 |
| Kendall Krystyna Tasche | Otolaryngology | University of Penn Medical Group | 3400 Spruce St, Philadelphia, PA 19104-4238 |
| Michel Bilello | Diagnostic Radiology | University of Penn Medical Group | 3400 Spruce St, Philadelphia, PA 19104-4238 |
| Edward T Dickinson | Emergency Medicine | University of Penn Medical Group | 3400 Spruce St, Penn Observation Medicine Service, Philadelphia, PA 19104-4206 |
| Bryan Matthew Blanchard | Nurse Practitioner | University of Penn Medical Group | 3400 Spruce St, Philadelphia, PA 19104-4238 |
| Keith Cengel | Radiation Oncology | University of Penn Medical Group | 3400 Spruce St, Philadelphia, PA 19104-4238 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark D Rizzi | Otolaryngology | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Gregory Edward Tasian | Urology | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Richard S Davidson | Orthopedic Surgery | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Lawrence M Levin | Maxillofacial Surgery | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| John Andrew Germiller | Otolaryngology | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Lawrence W Tom | Otolaryngology | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Steven E Sobol | Otolaryngology | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Monte Dean Mills | Ophthalmology | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Lawrence Wells | Orthopedic Surgery | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Shih-shan Lang Chen | Neurosurgery | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Find all physicians in zip 19104 | |||
| City | PHILADELPHIA |
| Zip Code | 19104 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | PHILADELPHIA + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Kirk Joseph Wangensteen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.