Glenn T Wetzel (NPI# 1023074010, PAC ID# 9830154962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1023074010 |
| PAC ID by PECOS | 9830154962 |
| Professional Enrollment ID | I20041130000797 |
| Full Name | Glenn T Wetzel |
| Organization Legal Name | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
| Address |
848 Adams Ave Memphis TN 38103-2816 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | PEDIATRIC MEDICINE, THORACIC SURGERY |
| Group Practice PAC ID | 7719173939 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 9012877337 | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
| 51 N Dunlap St, Memphis, TN 38105-4624 | 9012877337 | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
| 770 Estate Place, Memphis, TN 38120-0600 | 9012874030 | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
| 848 Adams Ave, Memphis, TN 38103-2816 | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
| Organization Legal Name | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
| Physicians | 176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin S Hendrickson | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap, Suite 235, Memphis, TN 38105 |
| Eileen F Smith | Qualified Audiologist | Ut Lebonheur Pediatric Specialists, Inc. | 4055 N Park Loop, Memphis, TN 38152-4220 |
| Casandra B Banks | Qualified Audiologist | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Benjamin R Waller Iii | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Jennifer D Mclevy-bazzanella | Otolaryngology | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap St, Memphis, TN 38105-4624 |
| Mark C Bugnitz | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Miriam Vanmersbergen | Qualified Speech Language Pathologist | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Shantaveer Gangu | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Tonia Elizabeth Gardner | Neurology | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Natalie C Kerr | Ophthalmology | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Street Address |
848 ADAMS AVE |
| City | MEMPHIS |
| State | TN |
| Zip | 38103-2816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin R Waller Iii | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Mark C Bugnitz | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Miriam Vanmersbergen | Qualified Speech Language Pathologist | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Shantaveer Gangu | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Tonia Elizabeth Gardner | Neurology | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Anthony M Sheyn | Otolaryngology | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Anthony C Merlocco | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Shyam Sathanandam | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Vijakumar Agrawal | Interventional Radiology | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Preet K Sandhu | Diagnostic Radiology | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Rhea Miller | Internal Medicine | Ut Regional One Physicians Inc | 718 Harbor Bend Rd, Memphis, TN 38103-0888 |
| Tomisha Byard | Nurse Practitioner | Ut Regional One Physicians Inc | 718 Harbor Bend Rd, Memphis, TN 38103-0888 |
| Matthew C Hayden | Chiropractic | 45 N 3rd St, Suite 101, Memphis, TN 38103-2354 | |
| Daniel Edward Brezina | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Timothy Alan Head | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap, Memphis, TN 38103-2800 |
| Kristen B Davis | Certified Registered Nurse Anesthetist (crna) | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| James R. Antony Bradley | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Erica Grissom | Certified Registered Nurse Anesthetist (crna) | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Thomas Boyce Hamilton | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Adam P Willis | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Find all physicians in zip 38103 | |||
| City | MEMPHIS |
| Zip Code | 38103 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | MEMPHIS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| 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.