Active NPI
Steven Wrenhaven
- Specialist
- Cleveland, OH
National Provider Identifier
1043674492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT. 009299
- Practice address
- 1349 E 79TH St
Cleveland, OH 44103-2864 - Phone
- (216) 838-2976
- NPI assigned
- Apr 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | OT. 009299 | OH | Primary |
Addresses
Primary practice location
1349 E 79TH St
Cleveland, OH 44103-2864
Mailing address
1349 E 79TH St
Cleveland, OH 44103-2864
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT. 009299 | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1043674492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1349 E 79TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441032864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1349 E 79TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441032864",
"telephone_number": "216-838-2976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRENHAVEN",
"first_name": "STEVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "OT. 009299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.