Steven Allen Wanek, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35.092020 Issued in OH

Practice address

3780 Medina Rd
Ste. 200
Medina, OH 44256-9311

Phone

(330) 722-3083

Fax

(330) 725-5043

NPI assigned

Mar 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

General Surgery

Education

Medical College of Ohio, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bloomington Medical Services LLCGroup PAC ID 9032297627, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wooster Community Hospital Hospital, Wooster, OH, CCN 360036

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: steven.wanek@bloomingtonmedical.medicity.net
• Direct secure messaging: swanek238793@direct.ccf.org

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.

• Bloomington Medical Services LLC

  • Internal Medicine Physician
  • Wooster, OH
  • NPI 1528246683
  Medicare reassignment Care Compare group NPD
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Summa Physicians LLC

  dba Summa Health Medical Group

  • Geriatric Medicine (Internal Medicine) Physician
  • Uniontown, OH
  • NPI 1457662769
  NPD (past)

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

• City of Wooster

  dba Wooster Community Hospital

  • General Acute Care Hospital
  • Wooster, OH
  • NPI 1437156247
  Care Compare affiliation

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1194995480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 MEDINA RD",
            "address_2": "STE. 200",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569311",
            "telephone_number": "330-722-3083",
            "fax_number": "330-725-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 MEDINA RD",
            "address_2": "STE. 200",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569311",
            "telephone_number": "330-722-3083",
            "fax_number": "330-725-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANEK",
        "first_name": "STEVEN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.092020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "4250581",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "4250582",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2884928",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "4250584",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Jean Wallace, LPTA
• Lacey Walsh
• Melissa Marie Walt, PSYD
• Faith Shannon Walters, LSW
• Tammy M Walters, LISW
• Jeremy Evan Warn, D.D.S.
• Jaclyn Nichole Warner, RN
• Karyssa Karine Watkins
• Shatayla Casonda Watkins, QMHS
• Eva Nicole Watts

• Surgery Physician in Medina, OH
• Providers in Medina, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.