Individual provider Active NPI

Marissa Lown, DO

  • Obstetrics & Gynecology Physician
  • Englewood, OH
National Provider Identifier
1790314870
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34.016952 Issued in OH
Practice address
20 W Wenger Rd Ste 2
Englewood, OH 45322-2764
Phone
(937) 771-5100
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34.016952 OH Primary

Addresses

Primary practice location

20 W Wenger Rd Ste 2
Englewood, OH 45322-2764

Mailing address

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-7200

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
I20250605001945 OH Practitioner - Obstetrics/Gynecology 7719309210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of New England, College of Osteo Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huey and Weprin OB GYN IncGroup PAC ID 2567420292, 4 clinicians

Practice addresses (Care Compare)

3533 Southern Blvd
Suite 3100
Kettering, OH 45429-1263
Phone (937) 771-5100

Hospital & facility affiliations

  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huey and Weprin OB-GYN Inc Obstetrics & Gynecology CurrentSince Apr 1, 2025 Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations

20 W Wenger Rd
Englewood, OH 45322
Phone (937) 771-5100

20 W Wenger Rd
Ste 2
Englewood, OH 45322
Phone (937) 771-5100

3533 Southern Blvd
Ste 3100
Kettering, OH 45429
Phone (937) 293-8228

Interoperability endpoints

  • Direct secure messaging: mlown2371342@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.

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1790314870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199606",
            "telephone_number": "616-252-7200",
            "fax_number": "616-252-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W WENGER RD STE 2",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222764",
            "telephone_number": "937-771-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWN",
        "first_name": "MARISSA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.016952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.