Individual provider Active NPI

Wenjun Zong, M.D.

  • Obstetrics & Gynecology Physician
  • Boardman, OH
National Provider Identifier
1164840997
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD472122 Issued in PA
Practice address
8423 Market St FL 3
Boardman, OH 44512-6778
Phone
(330) 729-7901
Fax
(330) 729-7915
NPI assigned
Mar 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD472122 PA Primary

Addresses

Primary practice location

8423 Market St FL 3
Boardman, OH 44512-6778

Mailing address

1144 Shawnee Ridge Dr
Cheswick, PA 15024-2358
Phone (412) 708-5925

Other practice location 1

2031 Belmont Ave Ste B
Youngstown, OH 44505-2401
Phone (330) 480-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829001895 OH Practitioner - Obstetrics/Gynecology 1850636952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8423 Market St
Suite 100
Boardman, OH 44512-6778
Phone (330) 729-3175

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Aug 12, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Single Specialty CurrentSince Aug 12, 2024 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

8423 Market St
Fl 3
Youngstown, OH 44512
Phone (330) 729-7901

8423 Market St
Ste 100
Youngstown, OH 44512
Phone (330) 707-5864

2031 Belmont Ave
Ste B
Youngstown, OH 44505
Phone (330) 480-3033

Interoperability endpoints

  • Direct secure messaging: wzong2680377@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1164840997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 SHAWNEE RIDGE DR",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150242358",
            "telephone_number": "412-708-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8423 MARKET ST FL 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126778",
            "telephone_number": "330-729-7901",
            "fax_number": "330-729-7915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2031 Belmont Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445052401",
            "country_code": "US",
            "telephone_number": "330-480-3033",
            "fax_number": "330-480-2568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZONG",
        "first_name": "WENJUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD472122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.