Individual provider Active NPI

Joel T Wehrmeyer, MD

  • Pediatrics Physician
  • Huber Heights, OH
National Provider Identifier
1043210313
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35-083181 Issued in OH
Practice address
6251 Good Samaritan Way Ste 210C
Huber Heights, OH 45424-5464
Phone
(937) 233-3910
Fax
(937) 233-8389
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-083181 OH Primary

Addresses

Primary practice location

6251 Good Samaritan Way Ste 210C
Huber Heights, OH 45424-5464

Mailing address

610 S Plum St
Marysville, OH 43040-1630
Phone (937) 644-1920

Other identifiers 1

IdentifierTypeStateIssuer
2433058MedicaidOH

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-083181OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Family Care Inc Pediatrics Past Accepting new patients
Samaritan Family Care, Inc. Past Accepting new patients
Samaritan Family Care Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1043210313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S PLUM ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401630",
            "telephone_number": "937-644-1920",
            "fax_number": "937-644-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 GOOD SAMARITAN WAY STE 210C",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454245464",
            "telephone_number": "937-233-3910",
            "fax_number": "937-233-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHRMEYER",
        "first_name": "JOEL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-083181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2433058",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.