NPIMap

Individual provider Active NPI

Mark S Weidenbecher, MD

  • Otolaryngology Physician
  • Stow, OH
National Provider Identifier
1346403490
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35123288 Issued in OH
Practice address
4275 Steels Pointe
Stow, OH 44224-6841
Phone
(330) 923-0399
Fax
(330) 923-6677
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35123288 OH Primary

Addresses

Primary practice location

4275 Steels Pointe
Stow, OH 44224-6841

Mailing address

4275 Steels Pointe
Stow, OH 44224-6841
Phone (330) 923-0399

Other identifiers 1

IdentifierTypeStateIssuer
0105058MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141007001013 OH Practitioner - Otolaryngology 9638306301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unity Health Network LLCGroup PAC ID 0244379717, 59 clinicians

Practice addresses (Care Compare)

4275 Steels Pointe
Stow, OH 44224-6841
Phone (330) 923-0399

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
The Metrohealth System Otolaryngology CurrentSince Nov 30, 2017 Accepting new patients
The Metrohealth System CurrentSince Nov 30, 2017 Accepting new patients
Unity Health Network, LLC CurrentSince May 1, 2023 Accepting new patients
Unity Health Network, LLC CurrentSince May 1, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Cleveland Heights, OH 44106

3033 State Rd
Ste 204
Cuyahoga Fls, OH 44223
Phone (330) 253-9727

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

4016 Massillon Rd
Ste C
Green, OH 44685
Phone (330) 899-9650

4275 Steels Pointe
Stow, OH 44224
Phone (330) 923-0399

Interoperability endpoints

  • Direct secure messaging: mark.weidenbecher@wrhs.eclinicaldirectplus.com
  • Direct secure messaging: mweidenbecher6118@direct.metrohealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1346403490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 STEELS POINTE",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246841",
            "telephone_number": "330-923-0399",
            "fax_number": "330-923-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 STEELS POINTE",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246841",
            "telephone_number": "330-923-0399",
            "fax_number": "330-923-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDENBECHER",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35123288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105058",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

Verify at the official NPI Registry.