Active NPI
Lisa Marie Wonnell-Chizmar, NP
- Nurse Practitioner
- Toledo, OH
National Provider Identifier
1669471439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 07055
- Practice address
- 7053 W Central Ave
Toledo, OH 43617-1114 - Phone
- (419) 843-1370
- Fax
- (419) 843-1362
- NPI assigned
- Jul 14, 2005
- Last updated
- Nov 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 07055 | OH | Primary |
Addresses
Primary practice location
7053 W Central Ave
Toledo, OH 43617-1114
Mailing address
580 Sugar Maple CT
Maumee, OH 43537-2306
Phone (419) 897-7851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2352332 | Medicaid | OH |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07055 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Comprehensive Psychological Services, LTD. | Past | Accepting new patients | |
| Randy L. Climo, M.D., Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Marietta, OH
- NPI 1831388701
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Adult Medicine Physician
- Maumee, OH
- NPI 1861446940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1669471439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 SUGAR MAPLE CT",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435372306",
"telephone_number": "419-897-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7053 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171114",
"telephone_number": "419-843-1370",
"fax_number": "419-843-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONNELL-CHIZMAR",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "07055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2352332",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.