Provider Demographics
NPI:1467593665
Name:WENDY HUEMPFNER M.D. PC
Entity Type:Organization
Organization Name:WENDY HUEMPFNER M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HUEMPFNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-745-6513
Mailing Address - Street 1:6001 E GRANT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2316
Mailing Address - Country:US
Mailing Address - Phone:520-745-6513
Mailing Address - Fax:520-733-1017
Practice Address - Street 1:6001 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2316
Practice Address - Country:US
Practice Address - Phone:520-745-6513
Practice Address - Fax:520-733-1017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
AZ18840207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0822200OtherBLUE CROSS HUEMPFNER
AZAZ0854240OtherBLUE CROSS BESSETTE
AZ045098Medicaid
AZ287822Medicaid
AZAZ0822200OtherBLUE CROSS HUEMPFNER
AZA96530Medicare UPIN
AZE85972Medicare UPIN
AZ045098Medicaid