Individual provider Active NPI

Kathleen Ann Wilhelm, PA-C

  • Medical Physician Assistant
  • Norwalk, OH
National Provider Identifier
1467448415
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50001482 Issued in OH
Practice address
44 Executive Dr
Norwalk, OH 44857-9566
Phone
(419) 668-4851
Fax
(419) 663-5146
NPI assigned
Sep 26, 2005
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50001482 OH Primary

Addresses

Primary practice location

44 Executive Dr
Norwalk, OH 44857-9566

Mailing address

4600 McAuley PL Ste 600
Blue Ash, OH 45242-4778
Phone (440) 366-5577

Other practice location 1

39263 Center Ridge Rd
North Ridgeville, OH 44039-2759
Phone (440) 336-5577

Other identifiers 2

IdentifierTypeStateIssuer
P01199953OtherRAILROAD MEDICARE
0071628MedicaidOH

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50001482OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SCT Operations Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1467448415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MCAULEY PL STE 600",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424778",
            "telephone_number": "440-366-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 EXECUTIVE DR",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448579566",
            "telephone_number": "419-668-4851",
            "fax_number": "419-663-5146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39263 Center Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "North Ridgeville",
            "state": "OH",
            "postal_code": "440392759",
            "country_code": "US",
            "telephone_number": "440-336-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50001482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01199953",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071628",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.