Frederick Micah Nuzum, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

22376 Issued in OH

Practice address

2920 Cleveland Rd
Wooster, OH 44691-1655

Phone

(330) 345-1200

NPI assigned

Oct 1, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Rishwain Endodontic Specialists LLC

  • Endodontics
  • Wooster, OH
  • NPI 1558206722
  NPD (past)

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1780918151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 CLEVELAND ROAD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "44691",
            "telephone_number": "330-345-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911655",
            "telephone_number": "330-345-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUZUM",
        "first_name": "FREDERICK",
        "middle_name": "MICAH",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "22376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karita Nussbaum
• Megan Jazelle Nussbaum
• Megan Nicole Nussbaum, LSW
• Nicholas Nutile, DMD
• Nuway Homeopathic LLC
• Jessica Larae O'Neal, PT, DPT
• Raven Obi, CDCA
• Joni M. Obrecht, MA, PC
• Deborah L. Obrien, LSW
• Occupational Medicine Associates of Wayne County, Inc

• Endodontics in Wooster, OH
• Providers in Wooster, OH by specialty
• Endodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.