Individual provider Active NPI

Wendy Suttiratana, FNP-BC

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1760737985
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.13473-NP Issued in OH
Practice address
745 W State St
Suite 510
Columbus, OH 43222-1515
Phone
(614) 464-0788
NPI assigned
Jul 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.13473-NP OH Primary

Addresses

Primary practice location

745 W State St
Suite 510
Columbus, OH 43222-1515

Mailing address

5300 N Meadows Dr Ste 3820
Grove City, OH 43123-2546
Phone (614) 663-3877

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wendy.suttiratana@mchs.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120907000087 OH Practitioner - Nurse Practitioner 8022266543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.134OHMDFamily Nurse Practitioner
COA.13473-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Two LLC CurrentSince Aug 11, 2014 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Aug 11, 2014 Accepting new patients

Locations

7901 Diley Rd
Ste 205
Canal Winchester, OH 43110
Phone (614) 464-0788

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

745 W State St
#510
Columbus, OH 43222
Phone (614) 464-0788

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

745 W State St
Ste 510
Columbus, OH 43222
Phone (614) 464-0788

5300 N Meadows Dr
Ste 3820
Grove City, OH 43123
Phone (614) 627-1300

Interoperability endpoints

  • Direct secure messaging: wsuttiratana1147984@direct.trinity-health.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1342224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1760737985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N MEADOWS DR STE 3820",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232546",
            "telephone_number": "614-663-3877",
            "fax_number": "614-663-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W STATE ST",
            "address_2": "SUITE 510",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221515",
            "telephone_number": "614-464-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTIRATANA",
        "first_name": "WENDY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-14",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.13473-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wendy.suttiratana@mchs.com",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "5300 N Meadows Dr Ste 3820",
            "city": "Grove City",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431232546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.