Individual provider Active NPI

Anthony Charles Wene, ATC

  • Athletic Trainer
  • Marion, OH
National Provider Identifier
1235669714
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT005312 Issued in OH
Practice address
1806 Summerset Dr Apt D
Marion, OH 43302-5877
Phone
(513) 262-6493
NPI assigned
Jun 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X AT005312 OH Primary

Addresses

Primary practice location

1806 Summerset Dr Apt D
Marion, OH 43302-5877

Mailing address

1806 Summerset Dr Apt D
Marion, OH 43302-5877
Phone (513) 262-6493

Other practice location 1

825 Greengate Dr
Lebanon, OH 45036-7926
Phone (513) 262-6493

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT005312OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235669714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 SUMMERSET DR APT D",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025877",
            "telephone_number": "513-262-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SUMMERSET DR APT D",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025877",
            "telephone_number": "513-262-6493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Greengate Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450367926",
            "country_code": "US",
            "telephone_number": "513-262-6493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENE",
        "first_name": "ANTHONY",
        "middle_name": "CHARLES",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.