Individual provider Active NPI

Wieslaw Mostowy, M.D.

  • Emergency Medicine Physician
  • Wilmington, OH
National Provider Identifier
1578541041
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35074380 Issued in OH
Practice address
2241 Rombach Rd.
Wilmington, OH 45177
Phone
(937) 383-1040
Fax
(937) 383-1380
NPI assigned
Jan 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35074380 OH Primary

Addresses

Primary practice location

2241 Rombach Rd.
Wilmington, OH 45177

Mailing address

PO Box 951216
Cleveland, OH 44193-0011
Phone (440) 777-6017

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120828000536 OH Practitioner - Emergency Medicine 2769639624 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35074380OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
JTDM Family Practice LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Professional Emergency Specialists of Southern Ohio Emergency Medicine Past Accepting new patients
Clinton Memorial Hospital of Wilmington Clinton County Ohio Past Accepting new patients
Professional Emergency Specialists of Southern Ohio Emergency Medicine Past Accepting new patients

Locations

6939 Cox Rd
Liberty Township, OH 45069
Phone (513) 206-1460

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

2001 Scioto Trl
Portsmouth, OH 45662
Phone (740) 353-1978

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Organizations & group practices 7

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578541041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951216",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930011",
            "telephone_number": "440-777-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 ROMBACH RD.",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "45177",
            "telephone_number": "937-383-1040",
            "fax_number": "937-383-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTOWY",
        "first_name": "WIESLAW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35074380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.