Organization Active NPI

Hacker, Hopple, Grossman, Wenzke Medical Group, Inc.

  • Internal Medicine Physician
  • Toledo, OH
National Provider Identifier
1407106925
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HACKER, HOPPLE, GROSSMAN, WENZKE MEDICAL GROUP, INC.
Practice address
4640 W Alexis Rd
Toledo, OH 43623-1182
Phone
(419) 843-8186
Fax
(419) 479-2579
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Dr. Robert E Wenzke, M.D.
Title
Treasurer
Phone
(419) 843-8186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4640 W Alexis Rd
Toledo, OH 43623-1182

Mailing address

4640 W Alexis Rd
Toledo, OH 43623-1182
Phone (419) 843-8186

National Provider Directory

National Provider Directory

Locations

5220 Alexis Rd
Sylvania, OH 43560
Phone (419) 318-5700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1407106925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 W ALEXIS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231182",
            "telephone_number": "419-843-8186",
            "fax_number": "419-479-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 W ALEXIS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231182",
            "telephone_number": "419-843-8186",
            "fax_number": "419-479-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKER, HOPPLE, GROSSMAN, WENZKE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "WENZKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "419-843-8186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.