Active NPI
Thomas C Fenzl, M.D.
- Ophthalmology Physician
- Wooster, OH
National Provider Identifier
1215956818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35.048705
- Practice address
- 3519 Friendsville Rd
Wooster, OH 44691-1241 - Phone
- (330) 345-7200
- Fax
- (330) 345-8029
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35.048705 | OH | Primary |
Addresses
Primary practice location
3519 Friendsville Rd
Wooster, OH 44691-1241
Mailing address
3519 Friendsville Rd
Wooster, OH 44691-1241
Phone (330) 345-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0509588 | 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 |
|---|---|---|---|
| 35.048705 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wooster Ophthalmologists, Inc. | Current | Accepting new patients | |
| Wooster ENT Associates Inc | Past | Accepting new patients |
Locations
3519 Friendsville Rd
Wooster, OH 44691
Phone (330) 345-7200
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- tfenzl@woostereyecenter.ecldirect.net
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Wooster, OH
- NPI 1265462881
-
- Otolaryngology Physician
- Wooster, OH
- NPI 1427110527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1215956818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3519 FRIENDSVILLE RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911241",
"telephone_number": "330-345-7200",
"fax_number": "330-345-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3519 FRIENDSVILLE RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911241",
"telephone_number": "330-345-7200",
"fax_number": "330-345-8029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENZL",
"first_name": "THOMAS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35.048705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0509588",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.