Active NPI
Carol Ann Wendt
- Specialist
- Medina, OH
National Provider Identifier
1679723993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 33.005924
- Practice address
- 970 E Washington St
203
Medina, OH 44256-3332 - Phone
- (330) 723-7246
- Fax
- (330) 725-7855
- NPI assigned
- Sep 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 33.005924 | OH | Primary |
Addresses
Primary practice location
970 E Washington St
203
Medina, OH 44256-3332
Mailing address
970 E Washington St
203
Medina, OH 44256-3332
Phone (330) 723-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33.005924 | Other | OH | STATE LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33.005924 | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1679723993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 E WASHINGTON ST",
"address_2": "203",
"city": "MEDINA",
"state": "OH",
"postal_code": "442563332",
"telephone_number": "330-723-7246",
"fax_number": "330-725-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 E WASHINGTON ST",
"address_2": "203",
"city": "MEDINA",
"state": "OH",
"postal_code": "442563332",
"telephone_number": "330-723-7246",
"fax_number": "330-725-7855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDT",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "33.005924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "33.005924",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.