WELLENDORF ENT, P.C.
NPI 1740494244
Otolaryngology in Carroll, IA

NPI Status: Active since May 10, 2007

Contact Information

405 S CLARK ST
SUITE 215
CARROLL, IA
ZIP 51401
Phone: (712) 792-4368
Fax: (712) 792-2056

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  • Organization
  • Otolaryngology
  • Accepts Insurance

About WELLENDORF ENT, P.C.

This page provides the complete NPI Profile along with additional information for Wellendorf Ent, P.c., a provider established in Carroll, Iowa operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1740494244 assigned on May 2007. The practitioner's primary taxonomy code is 207Y00000X with license number 30594 (IA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Tracey G Wellendorf M.d. (President)

NPI
1740494244
Provider Name
WELLENDORF ENT, P.C.
Entity Type
Organization
Location Address
405 S CLARK ST SUITE 215 CARROLL, IA 51401
Location Phone
(712) 792-4368
Location Fax
(712) 792-2056
Mailing Address
PO BOX 766 CARROLL, IA 51401
Mailing Phone
(712) 792-4368
Mailing Fax
(712) 792-2056
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2007
Last Update Date
03-26-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License No.
30594
License State
IA
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TRACEY G WELLENDORF M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(712) 792-4368

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2124032MEDICAID (05)IA 
5124032MEDICAID (05)IA 
1124032MEDICAID (05)IA 
3124032MEDICAID (05)IA 
6124032MEDICAID (05)IA 

Reviews for WELLENDORF ENT, P.C.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1740494244
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
278089828
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 8 + 9 + 8 + 2 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1740494244 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

PHARMACY ASSOCIATES OF CARROLL,INC

Pharmacy

405 S CLARK ST
SUITE 150
CARROLL, IA
ZIP 51401

(712) 792-3212

DR. DAPHNE ANN PUDENZ M.D.

Internal Medicine

405 S CLARK ST
SUITE 100
CARROLL, IA
ZIP 51401

(712) 792-1500

LOU ANN KIESSLING M.D.

Ophthalmology

405 S CLARK ST
SUITE 220
CARROLL, IA
ZIP 51401

(712) 792-8255

VIRGINIA ANN UHLENKAMP ARNP

Nurse Practitioner

(Family)

405 S CLARK ST
SUITE 215
CARROLL, IA
ZIP 51401

(712) 792-4368

LEASE EYE MD PC

Ophthalmology

405 S CLARK ST
SUITE 220
CARROLL, IA
ZIP 51401

(712) 792-8255

VIVIAN DIANNE CHANCE ARNP

Nurse Practitioner

(Family)

405 S CLARK ST
SUITE 215
CARROLL, IA
ZIP 51401

(712) 792-4368

NELSON LO MD

Obstetrics & Gynecology

405 S CLARK ST
CARROLL, IA
ZIP 51401

(712) 792-0702

MARK R COLLISON M.D.

Internal Medicine

405 S CLARK ST
SUITE 230
CARROLL, IA
ZIP 51401

(712) 794-2222

KARLA KAY CHENEY MD

Pediatrics

405 S CLARK ST
SUITE 100
CARROLL, IA
ZIP 51401

(712) 792-2222

DR. DAVID NYSTROM D.O.

Family Medicine

405 S CLARK ST
SUITE # 230
CARROLL, IA
ZIP 51401

(712) 792-2222

RICHARD CLINE SAZAMA MD

Urology

405 S CLARK ST
SUITE 100
CARROLL, IA
ZIP 51401

(712) 792-2222

DR. KYLE GERARD ULVELING M.D.

Internal Medicine

405 S CLARK ST
CARROLL, IA
ZIP 51401

(712) 792-6500

MR. TRACEY G WELLENDORF MD

Otolaryngology

405 S CLARK ST
SUITE 215
CARROLL, IA
ZIP 51401

(712) 792-4368

IOWA PHYSICIANS

Medical Genetics, Ph.D. Medical Genetics

405 S CLARK ST
STE 200
CARROLL, IA
ZIP 51401

(712) 792-0040

JESSICA MARIE BORKOWSKI ARNP, FNP-C

Nurse Practitioner

(Family)

405 S CLARK ST
CARROLL, IA
ZIP 51401

(712) 790-0841

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740494244, enumerated as an "organization" on May 10, 2007.

The provider is located at 405 S CLARK ST SUITE 215 CARROLL, IA 51401 and the phone number is (712) 792-4368.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.