Individual provider Active NPI

Andre F Wolanin, M.D.

  • Orthopaedic Surgery Physician
  • Parma, OH
National Provider Identifier
1770560625
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35067748W Issued in OH
Practice address
6115 Powers Blvd
Ste. 100
Parma, OH 44129-5471
Phone
(440) 842-1570
Fax
(440) 842-8230
NPI assigned
Dec 30, 2005
Last updated
Sep 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35067748W OH Primary

Addresses

Primary practice location

6115 Powers Blvd
Ste. 100
Parma, OH 44129-5471

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 626-6161

Other identifiers 1

IdentifierTypeStateIssuer
0222173MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081210000448 OH Practitioner - Orthopedic Surgery 1658279401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northeastern Ohio University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15299 Bagley Rd
Suite 100
Middleburg Heights, OH 44130-4809
Phone (440) 885-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement32
Knee replacement32
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Upper limb (arm) arthroscopy (minimally invasive joint repair)22
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35067748WOHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group, Inc CurrentSince Jan 1, 2026 Accepting new patients
Northern Ohio Medical Specialists LLC Orthopaedic Surgery CurrentSince Jan 1, 2017 Accepting new patients
Southwest General Medical Group Inc CurrentSince Jan 1, 2026 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Jan 1, 2017 Accepting new patients
Southwest General Medical Group Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Southwest Orthopaedics, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

15299 Bagley Rd
Ste 100
Middleburg Heights, OH 44130
Phone (440) 816-6432

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

6115 Powers Blvd
Ste 100
Parma, OH 44129
Phone (440) 842-1570

6820 Ridge Rd
Parma, OH 44129
Phone (440) 842-1570

6820 Ridge Rd
Ste 100
Parma, OH 44129

2500 W Strub Rd
Ste 360
Sandusky, OH 44870

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • Direct secure messaging: awolanin@direct.swgeneral.com
  • Direct secure messaging: awolanin20913@nomshealthcare.direct-ci.com
  • Direct secure messaging: awolanin37646@ehrdirect.uhhospitals.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1770560625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-626-6161",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 POWERS BLVD",
            "address_2": "STE. 100",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295471",
            "telephone_number": "440-842-1570",
            "fax_number": "440-842-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLANIN",
        "first_name": "ANDRE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35067748W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222173",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.