WILLIAM W WENNEN MD FACS


Address: 575 Riverstone Way, Unit 1, Fairbanks, AK 99709-2939
Phone: 9074518775

WILLIAM W WENNEN MD FACS (NPI# 1497949697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497949697
Entity Type Organization
Organization Name WILLIAM W WENNEN MD FACS
Practice Address 575 Riverstone Way
Unit 1
Fairbanks
AK 99709-2939
Practice Telephone 9074518775
Practice Fax Number 9074517716
Mailing Telephone 9074518775
Mailing Fax Number 9074517716
Enumeration Date 2007-08-30
Last Update Date 2010-08-13
Authorized Official Name DR. WILLIAM W WENNEN (PRESIDENT)
Authorized Official Telephone 9074518775
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery AA1264 AK Allopathic & Osteopathic Physicians

Office Location

Street Address 575 RIVERSTONE WAY
UNIT 1
City FAIRBANKS
State AK
Zip Code 99709-2939

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NPI Name Taxonomy Address Enumeration
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1609395409 Shawn K Goggins Counselor 1423 Peger Road, Fairbanks, AK 99709 2017-09-12
1710433347 Jay Titus Technician/Technologist 2884 Marina Drive, Fairbanks, AK 99709 2016-09-01
1710391610 Hannah Summerfelt Dentist 3539 Thomas St, Fairbanks, AK 99709 2014-06-18
1629407325 Diane Louise Mitchell Nurse Practitioner 4650 Harvard Cir, Fairbanks, AK 99709 2013-11-04
1407147929 Christina Martz Counselor 1270 Summet Drive, Fairbanks, AK 99709 2011-05-02
1255652285 Surgery Center of Fairbanks LLC Clinic/Center 2310 Peger Road, Fairbanks, AK 99709 2010-06-14
1962661835 John Leo Hughes Jr Jr. Dentist 3437 Airport Way, Suite 205, Fairbanks, AL 99709 2008-06-05
1508042417 Katherine E Johnson, Md PC Ophthalmology 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 2008-01-10
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659515237 Aurora Plastic Surgery, LLC Plastic Surgery 1919 Lathrop St, Fairbanks, AK 99701-5930 2009-04-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346418829 Wandra K. Miles, Md, Pllc Plastic Surgery 3137 Tongass Ave, Ketchikan, AK 99901-5745 2008-02-18
1578928628 Gagnon Plastic and Reconstructive Surgery Plastic Surgery 950 E Bogard Rd, Suite 209, Wasilla, AK 99654-7184 2015-12-16
1861776791 Mat-su Plastic Surgery LLC Plastic Surgery 2490 S Woodworth Loop, Suite 310, Palmer, AK 99645-7405 2011-10-11
1871738674 Plastic Surgeons of Alaska, LLC Plastic Surgery 2741 Debarr Rd Ste C215, Anchorage, AK 99508-2978 2008-12-08
1417070905 Elliott B Gagnon Plastic Surgery 950 E Bogard Rd, Suite 209, Wasilla, AK 99654-7184 2007-04-09
1821114448 Gregory Henry Dostal Plastic Surgery 3225 Hospital Dr, #102, Juneau, AK 99801 2007-03-22
1962533018 Michael Manuel,md,pc Plastic Surgery 2741 Debarr Rd, C-215, Anchorage, AK 99508-2953 2007-03-08
1649380767 Daniel William Suver Plastic Surgery 2741 Debarr Rd, Suite C215 Plastic Surgeons of Alaska, Anchorage, AK 99508-2978 2006-08-30
1003831488 Michael D Manuel Plastic Surgery 2741 Debarr Rd Ste C215, Anchorage, AK 99508-2978 2006-07-13
1750353108 George E Siegfried Plastic Surgery 1200 Airport Heights Dr, #190, Anchorage, AK 99508-2943 2006-02-01
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Competitor

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City FAIRBANKS
Zip Code 99709

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Dataset Information

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.

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