Stephanie Marie Weckesser, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35097856 Issued in OH

Practice address

970 W Wooster St
Suite 130
Bowling Green, OH 43402-2643

Phone

(419) 352-6890

Fax

(419) 353-2415

NPI assigned

Jul 23, 2008

Sex

Female

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

Other names 1

• Stephanie Marie Gardyza Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.weckessermd.p1@direct.whc.nextgenshare.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/m6q718FZg_-IH-imjhHk1P9jJGSwQzGK/
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Blanchard Valley Regional Health Center

  • Emergency Medicine Physician
  • Findlay, OH
  • NPI 1699718320

  Pediatrics

  Medicare reassignment NPD
• Wood Health Company LLC

  • Family Medicine Physician
  • Bowling Green, OH
  • NPI 1598776916
  Medicare reassignment NPD
• Blanchard Valley Regional Health Center

  • Family Medicine Physician
  • Findlay, OH
  • NPI 1083665251

  Pediatrics

  NPD
• Blanchard Valley Regional Health Center

  • Rehabilitation Hospital Unit
  • Findlay, OH
  • NPI 1578336400
  NPD
• Blanchard Valley Regional Health Center

  • General Acute Care Hospital
  • Findlay, OH
  • NPI 1710920327
  NPD (past)
• Wood County Hospital Assn

  • General Acute Care Hospital
  • Bowling Green, OH
  • NPI 1790751253
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1497910061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HASKINS RD",
            "address_2": "SUITE B",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021600",
            "telephone_number": "419-353-7069",
            "fax_number": "419-353-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 W WOOSTER ST",
            "address_2": "SUITE 130",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022643",
            "telephone_number": "419-352-6890",
            "fax_number": "419-353-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECKESSER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35097856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061307",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GARDYZA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nichole Watkins, LPN
• Laura Anne Wawrzyniak, MSW, LSW
• Nicole M Weaver
• Maria L Weber, LMT
• Theresa Marie Weber, LPC
• Jessica Weckle
• Josiah Wells
• Jessica Pearl Wente, PHARMD
• Emmalee Annette West
• Evelyn Madison Westhoven

• Pediatrics Physician in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.