Active NPI
Michael W Worobiec, MD
- Internal Medicine Physician
- Bucyrus, OH
National Provider Identifier
1003872060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35072276W
- Practice address
- 629 N Sandusky Ave
Bucyrus, OH 44820-1821 - Phone
- (419) 562-4677
- Fax
- (419) 562-0987
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35072276W | OH | Primary |
Addresses
Primary practice location
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00296036 | Other | RR GALION | |
| 000000248168 | Other | OH | BCBS MARION |
| 000000316699 | Other | OH | BCBS FOR BUCYRUS |
| 000000387749 | Other | BCBS | |
| 2054913 | Medicaid | OH | |
| 930116142 | Other | OH | RR MEDICARE MARION |
| P00150579 | Other | RR MEDICARE FOR BUCYRUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35072276W | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galion Emergency Physicians Inc | Past | Accepting new patients | |
| Marion General Hospital Foundation, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Galion, OH
- NPI 1457391187
-
- Emergency Medicine Physician
- Marion, OH
- NPI 1134114077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1003872060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136",
"fax_number": "937-619-4231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 N SANDUSKY AVE",
"city": "BUCYRUS",
"state": "OH",
"postal_code": "448201821",
"telephone_number": "419-562-4677",
"fax_number": "419-562-0987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOROBIEC",
"first_name": "MICHAEL",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35072276W",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR GALION",
"identifier": "P00296036",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MARION",
"identifier": "000000248168",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FOR BUCYRUS",
"identifier": "000000316699",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000387749",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2054913",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE MARION",
"identifier": "930116142",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE FOR BUCYRUS",
"identifier": "P00150579",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bucyrus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.