Provider Demographics
NPI:1164496139
Name:SPANGLER-MORRISON, WENDY JENNIFER (MD)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:JENNIFER
Last Name:SPANGLER-MORRISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1621
Mailing Address - Country:US
Mailing Address - Phone:913-653-8530
Mailing Address - Fax:
Practice Address - Street 1:5340 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1621
Practice Address - Country:US
Practice Address - Phone:913-653-8530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22429207T00000X
KS04-45466207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0564070Medicaid
30395OtherBCBS OF NE
NE47-061940513Medicaid
94329OtherBCBS OF IOWA
NE140008327OtherRR MEDICARE
NE276411Medicare ID - Type Unspecified
30395OtherBCBS OF NE