Mark Andrew Wohlgemuth, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G39796 Issued in CA

Practice address

26726 Crown Valley Pkwy
#200
Mission Viejo, CA 92691-6364

Phone

(949) 364-4361

Fax

(949) 364-4495

NPI assigned

Jun 24, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mark.wohlgemuth.p19@direct.monarchhealthcare.nextgenshare.com

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1245266873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY",
            "address_2": "#200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916364",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY",
            "address_2": "#200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916364",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLGEMUTH",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G39796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G397960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall Dean Winchell, DC
• Robert Henry Winokur, M.D.
• Quintin C Wise
• John W Witczak, DO
• Theodore C. Witt, DDS
• Bradley Wolf, PSYD, LP
• Donna Hwang Wong, OD
• Laura L Wong, PHARMD
• Melanie Lok-Yan Wong, FNP-C
• Randall Keith Wong, OD

• Specialist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.