SPENCER DAVID WENZEL (NPI# 1538704820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538704820 |
| Entity Type | Individual |
| Full Name | SPENCER DAVID WENZEL |
| Practice Address |
919 Rosedale Dr Marietta GA 30066-5431 |
| Mailing Address |
1265 Hwy 54 West Suites 102 and 308 Fayetteville GA 30214 |
| Practice Telephone | 6512951373 |
| Mailing Telephone | 7704601900 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2020-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9716 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
919 ROSEDALE DR |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-5431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| 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 |
|---|---|---|---|---|
| 1053928721 | Lynn Xinhui Guan | Physician Assistant | 1121 Johnson Ferry Rd Ste 420, Marietta, GA 30068-5420 | 2020-09-28 |
| 1902416035 | Courtney Taylor Warfel | Physician Assistant | 4561 Trickum Rd Ne, Marietta, GA 30066-1364 | 2020-08-04 |
| 1750914867 | Julea Grace Radford | Physician Assistant | 2421 Shiloh Dr Sw, Marietta, GA 30064-4257 | 2020-02-17 |
| 1447880984 | Madison Alice Dooley | Physician Assistant | 3084 Moss Stone Ln, Marietta, GA 30064-6415 | 2020-01-23 |
| 1578044046 | Michelle Han | Physician Assistant | 2520 Windy Hill Rd Se Ste 301, Marietta, GA 30067-8695 | 2018-08-23 |
| 1932624434 | David Johann Hoover | Physician Assistant | 400 Matthew St Ste 208, Marietta, OH 45750-1656 | 2017-08-07 |
| 1174059877 | Thomas Ryan Cooke | Physician Assistant | 2169 Freydale Rd Se, Marietta, GA 30067-7070 | 2017-05-02 |
| 1790168284 | Alissa R. Mcgee | Physician Assistant | 790 Church Street, Suite 335, Marietta, GA 30060-7282 | 2015-07-02 |
| 1063832749 | Patricia Chu Mulder | Physician Assistant | 2639 Morgan Lake Dr Ne, Marietta, GA 30066-5611 | 2014-04-22 |
| 1548689946 | Eboni Chauntae Miller | Physician Assistant | 400 Tower Rd Ne Ste 200, Marietta, GA 30060-9412 | 2014-04-14 |
| Find all providers in MARIETTA | ||||
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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.