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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | AA1264 | AK | Allopathic & Osteopathic Physicians |
Street Address |
575 RIVERSTONE WAY UNIT 1 |
City | FAIRBANKS |
State | AK |
Zip Code | 99709-2939 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
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 |
Find all providers in zip 99709 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659515237 | Aurora Plastic Surgery, LLC | Plastic Surgery | 1919 Lathrop St, Fairbanks, AK 99701-5930 | 2009-04-27 |
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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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.