Individual provider Active NPI

Melissa June Winkie, MD

  • Pediatrics Physician
  • Powell, OH
National Provider Identifier
1568922375
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.148063 Issued in OH
Practice address
55 Clairedan Dr
Powell, OH 43065-8064
Phone
(614) 888-8989
Fax
(614) 888-8968
NPI assigned
Mar 20, 2019
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.148063 OH Primary

Addresses

Primary practice location

55 Clairedan Dr
Powell, OH 43065-8064

Mailing address

55 Clairedan Dr
Powell, OH 43065-8064
Phone (614) 888-8989

Other names 1

  • Melissa June Wolz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220630002916 WV Practitioner - Pediatric Medicine 0749660116
I20230828001776 OH Practitioner - Pediatric Medicine 0749660116 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.148063OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Pediatrics CurrentSince Sep 18, 2023 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Sep 18, 2023 Accepting new patients
Powell Pediatric Care Pediatrics PastSince Oct 8, 2023 Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

55 Clairedan Dr
Powell, OH 43065
Phone (614) 888-8989

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: mwinkie33457@copcp.medicity.net
  • Direct secure messaging: mwolz105529@direct.wvuhsdirect.com

Organizations & group practices 4

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1568922375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CLAIREDAN DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658064",
            "telephone_number": "614-888-8989",
            "fax_number": "614-888-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CLAIREDAN DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658064",
            "telephone_number": "614-888-8989",
            "fax_number": "614-888-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKIE",
        "first_name": "MELISSA",
        "middle_name": "JUNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.148063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WOLZ",
            "middle_name": "JUNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.