Individual provider Active NPI

Janet S Wieselthier, M.D.

  • Dermatopathology Physician
  • Lyndhurst, OH
National Provider Identifier
1639174386
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
35.070376 Issued in OH
Practice address
29001 Cedar Rd
Suite 203
Lyndhurst, OH 44124-4062
Phone
(440) 684-9933
Fax
(440) 684-9971
NPI assigned
Jun 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 35.070376 OH Primary

Addresses

Primary practice location

29001 Cedar Rd
Suite 203
Lyndhurst, OH 44124-4062

Mailing address

29001 Cedar Rd
Suite 203
Lyndhurst, OH 44124-4062
Phone (440) 684-9933

Other identifiers 5

IdentifierTypeStateIssuer
2087352MedicaidOH
1154487932OtherOHGROUP NPI
070012438OtherOHRAILROAD MEDICARE NUMBER
9186053OtherOHGROUP MEDICARE LEGACY NUM
9186052OtherOHMEDICARE GROUP LEGACY NUM

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
I20100407000779 OH Practitioner - DermatologyPractitioner - Pathology 5294861878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
State University of New York Downstate Medical Center, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29001 Cedar Rd
Suite 615
Lyndhurst, OH 44124-4041
Phone (440) 684-9933

Merit-based Incentive Payment System (MIPS)

Final score
82.69 of 100Reported as individual
Quality
68.53
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Removal of tissue1-10
Removal of skin lesions613
Removal or shaving of skin growth1-10
Skin biopsy141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Dermatology Dermatopathology CurrentSince Jan 16, 2010 Accepting new patients

Locations

29001 Cedar Rd
Ste 203
Lyndhurst, OH 44124
Phone (216) 292-3100

29001 Cedar Rd
Ste 615
Lyndhurst, OH 44124
Phone (440) 684-9933

Interoperability endpoints

  • Direct secure messaging: jwieselthier220523@ehrdirect.uhhospitals.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1639174386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29001 CEDAR RD",
            "address_2": "SUITE 203",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441244062",
            "telephone_number": "440-684-9933",
            "fax_number": "440-684-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29001 CEDAR RD",
            "address_2": "SUITE 203",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441244062",
            "telephone_number": "440-684-9933",
            "fax_number": "440-684-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESELTHIER",
        "first_name": "JANET",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-18",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "OH",
            "license": "35.070376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2087352",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1154487932",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "070012438",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE LEGACY NUM",
            "identifier": "9186053",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP LEGACY NUM",
            "identifier": "9186052",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

Verify at the official NPI Registry.