Active NPI
Margie Wenz, MD
- Gynecology Physician
- Chardon, OH
National Provider Identifier
1093740045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- OH35058266
- Practice address
- 13170 Ravenna Rd Ste 102
Chardon, OH 44024-7022 - Phone
- (440) 286-9238
- Fax
- (440) 286-4832
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | OH35058266 | OH | Primary |
Addresses
Primary practice location
13170 Ravenna Rd Ste 102
Chardon, OH 44024-7022
Mailing address
PO Box 8792
Belfast, ME 04915-8792
Phone (440) 286-9238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0744369 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OH35058266 | OH | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1720220098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1093740045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8792",
"city": "BELFAST",
"state": "ME",
"postal_code": "049158792",
"telephone_number": "440-286-9238",
"fax_number": "440-286-4832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13170 RAVENNA RD STE 102",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247022",
"telephone_number": "440-286-9238",
"fax_number": "440-286-4832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENZ",
"first_name": "MARGIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OH",
"license": "OH35058266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0744369",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.