NPIMap

Organization Active NPI

Wooster Orthopaedics & Sportsmedicine Inc

  • Multi-Specialty Clinic/Center
  • Wooster, OH
National Provider Identifier
1699729137
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WOOSTER ORTHOPAEDICS & SPORTSMEDICINE INC
Practice address
3373 Commerce Pkwy
Suite 2
Wooster, OH 44691-7130
Phone
(330) 804-9712
Fax
(330) 804-9770
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
James W Gesler, MD
Title
Managing Partner
Phone
(330) 804-9712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3373 Commerce Pkwy
Suite 2
Wooster, OH 44691-7130

Mailing address

3373 Commerce Pkwy
Suite 2
Wooster, OH 44691-7130
Phone (330) 804-9712

Other identifiers 1

IdentifierTypeStateIssuer
2197064MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031216000921 OH Part B Supplier - Clinic/Group Practice 6204733355 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
Practice locations: Millersburg, OH; Orrville, OH; Wooster, OH
O20100930024289 OH DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6204733355 Practice locations: Wooster, OH

National Provider Directory

National Provider Directory

Locations

1261 Wooster Rd
Ste 120
Millersburg, OH 44654
Phone (330) 674-0775

3373 Commerce Pkwy
Ste 1
Wooster, OH 44691
Phone (330) 804-2000

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1699729137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3373 COMMERCE PKWY",
            "address_2": "SUITE 2",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917130",
            "telephone_number": "330-804-9712",
            "fax_number": "330-804-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3373 COMMERCE PKWY",
            "address_2": "SUITE 2",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917130",
            "telephone_number": "330-804-9712",
            "fax_number": "330-804-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOSTER ORTHOPAEDICS & SPORTSMEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "GESLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "330-804-9712",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197064",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.