Individual provider Active NPI

Marilyn Wendt Horacek, DO

  • Family Medicine Physician
  • Wheeling, WV
National Provider Identifier
1003838830
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1551 Issued in WV
Practice address
2115 Chapline St
Ste 208
Wheeling, WV 26003-3859
Phone
(304) 217-3130
Fax
(304) 217-3134
NPI assigned
Jul 24, 2006
Last updated
Dec 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1551 WV Primary

Addresses

Primary practice location

2115 Chapline St
Ste 208
Wheeling, WV 26003-3859

Mailing address

2115 Chapline St
Ste 208
Wheeling, WV 26003-3859
Phone (304) 217-3130

Other identifiers 3

IdentifierTypeStateIssuer
2057536MedicaidOH
0055267000MedicaidWV
080121554OtherRAILROAD MEDICARE

Other names 1

  • Marilyn Wendt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080508000711 WV Practitioner - Family Practice 8224039144 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1551WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ritchie County Primary Care Assoc., Inc. CurrentSince Jun 19, 2021 Accepting new patients
Marilyn W. Horacek, D.O. Family Medicine PastSince Aug 12, 2010 Accepting new patients
Marilyn W. Horacek, DO Family Medicine PastSince Aug 12, 2010 Accepting new patients

Locations

L4162
Columbus, OH 43260

135 S Penn Ave
Harrisville, WV 26362
Phone (304) 343-4005

1200 Stephenson Ave
Parkersburg, WV 26101
Phone (304) 420-5819

1513 Blizzard Dr
Parkersburg, WV 26101
Phone (304) 699-0809

2330 N Pleasants Hwy
Saint Marys, WV 26170
Phone (855) 552-8907

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7452/brand/1/csg/1/fhir/r4
  • Direct secure messaging: m.horachek@ritchieregional.directbygreenway.com
  • Direct secure messaging: marilyn.horacek.1@7452.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1003838830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CHAPLINE ST",
            "address_2": "STE 208",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033859",
            "telephone_number": "304-217-3130",
            "fax_number": "304-217-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CHAPLINE ST",
            "address_2": "STE 208",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033859",
            "telephone_number": "304-217-3130",
            "fax_number": "304-217-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORACEK",
        "first_name": "MARILYN",
        "middle_name": "WENDT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2057536",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055267000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080121554",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "WENDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.