NPIMap

Organization Active NPI

Wohlwend Family Medicine, Inc.

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1104933829
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-004668 Issued in OH
Legal business name
WOHLWEND FAMILY MEDICINE, INC.
Practice address
4139 N Holland Sylvania Rd
Suite B
Toledo, OH 43623-2503
Phone
(419) 885-7212
Fax
(419) 885-7204
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Roger Lee Wohlwend, D.O.NPI 1710982145
Title
Family Physician
Phone
(419) 885-7212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34-004668 OH Primary

Addresses

Primary practice location

4139 N Holland Sylvania Rd
Suite B
Toledo, OH 43623-2503

Mailing address

4139 N Holland Sylvania Rd
Suite B
Toledo, OH 43623-2503
Phone (419) 885-7212

Other identifiers 1

IdentifierTypeStateIssuer
0785637MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1104933829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232503",
            "telephone_number": "419-885-7212",
            "fax_number": "419-885-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232503",
            "telephone_number": "419-885-7212",
            "fax_number": "419-885-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOHLWEND FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "WOHLWEND",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "FAMILY PHYSICIAN",
        "authorized_official_telephone_number": "419-885-7212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-004668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0785637",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.