Active NPI
Howard F Wunderlich, MD
- Infectious Disease Physician
- Dayton, OH
National Provider Identifier
1285626176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 35037718W
- Practice address
- 1222 S Patterson Blvd
Suite 120
Dayton, OH 45402-2684 - Phone
- (937) 208-9090
- Fax
- (937) 208-9075
- NPI assigned
- Aug 17, 2005
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 35037718W | OH | Primary |
Addresses
Primary practice location
1222 S Patterson Blvd
Suite 120
Dayton, OH 45402-2684
Mailing address
1222 S Patterson Blvd
Suite 120
Dayton, OH 45402-2684
Phone (937) 208-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0426659 | 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 |
|---|---|---|---|
| 35037718W | OH | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1285626176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 S PATTERSON BLVD",
"address_2": "SUITE 120",
"city": "DAYTON",
"state": "OH",
"postal_code": "454022684",
"telephone_number": "937-208-9090",
"fax_number": "937-208-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 S PATTERSON BLVD",
"address_2": "SUITE 120",
"city": "DAYTON",
"state": "OH",
"postal_code": "454022684",
"telephone_number": "937-208-9090",
"fax_number": "937-208-9075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUNDERLICH",
"first_name": "HOWARD",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "OH",
"license": "35037718W",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0426659",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.