MEDICARE: DR. FELICE WENER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	92270	SC
2	207L00000X	Anesthesiology Physician	E-9158	AR
3	207L00000X	Anesthesiology Physician	0101282093	VA
4	207L00000X	Anesthesiology Physician	35725	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851357420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FELICE WENER MD

Provider Business Mailing Address
First Line	:	2596 INTERSTATE 55
Second Line	:	TRISTATE ADVANCED SURGERY CENTER
City	:	MARION
State	:	AR
Zip	:	72364
Country	:	US
Telephone Number	:	870-559-2006
Fax Number	:

Provider Business Practice Location Address
First Line	:	2596 INTERSTATE 55
Second Line	:	TRISTATE ADVANCED SURGERY CENTER
City	:	MARION
State	:	AR
Zip	:	72364
Country	:	US
Telephone Number	:	870-559-2006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	05/22/2025

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Directions to “ DR. FELICE WENER MD” Practice Location

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