Individual provider Active NPI

Jeffrey Scott Wunning, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Wooster, OH
National Provider Identifier
1699002196
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
003661 Issued in OH
Practice address
365 Riffel Rd Ste a
Wooster, OH 44691-8592
Phone
(330) 345-5500
Fax
(330) 345-7793
NPI assigned
Nov 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016.005449 IL
Podiatrist 213E00000X 003661 OH
Foot Surgery Podiatrist 213ES0131X 003661 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 003661 OH Primary

Addresses

Primary practice location

365 Riffel Rd Ste a
Wooster, OH 44691-8592

Mailing address

365 Riffel Rd Ste a
Wooster, OH 44691-8592
Phone (330) 345-5500

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141201000081 OH Practitioner - Podiatry 2668638651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey S Wunning DPM LLCGroup PAC ID 8224359674, 3 clinicians

Practice addresses (Care Compare)

365 Riffel Rd
Suite a
Wooster, OH 44691-8592
Phone (330) 345-5500

Hospital & facility affiliations

  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue92
Removal of skin lesions1-10
Removal of nail tissue603
Removal or shaving of skin growth101
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005449ILMDPodiatrist
003661OHMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey S. Wunning, DPM, LLC Podiatrist CurrentSince Dec 27, 2014 Accepting new patients
Foot & Ankle Associates LTD Podiatrist Past Accepting new patients

Locations

365 Riffel Rd
Wooster, OH 44691
Phone (330) 345-1050

365 Riffel Rd
Ste A
Wooster, OH 44691
Phone (330) 345-5500

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1699002196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 RIFFEL RD STE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446918592",
            "telephone_number": "330-345-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 RIFFEL RD STE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446918592",
            "telephone_number": "330-345-5500",
            "fax_number": "330-345-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNNING",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016.005449",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "003661",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "003661",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "003661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.