Individual provider Active NPI

Marcietta R Wilson, DO

  • Obstetrics & Gynecology Physician
  • Lorain, OH
National Provider Identifier
1801860572
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34.008316 Issued in OH
Practice address
3600 Kolbe Rd Ste 210
Lorain, OH 44053-1652
Phone
(440) 960-3912
Fax
(440) 960-3913
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 34.008316 OH Primary

Addresses

Primary practice location

3600 Kolbe Rd Ste 210
Lorain, OH 44053-1652

Mailing address

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-6350

Other identifiers 3

IdentifierTypeStateIssuer
007282000MedicaidFL
2493869MedicaidOH
0236248MedicaidOH

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
I20040811001289 OH Practitioner - Obstetrics/Gynecology 6901878628 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio University, College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians
Mercy Health Physicians Lorain Specialty Care LLCGroup PAC ID 4688070055, 134 clinicians

Practice addresses (Care Compare)

525 E Market St
Akron, OH 44304-1619

578 N Leavitt Rd
Amherst, OH 44001-1131
Phone (440) 960-3912

Hospital & facility affiliations

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
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
University Hospitals Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 15, 2025 Accepting new patients
Mercy Health Physicians Lorain, LLC CurrentSince Oct 18, 2017 Accepting new patients
Lorain County Health & Dentistry CurrentSince Jun 8, 2018 Accepting new patients
Summa Physicians LLC CurrentSince Oct 27, 2025 Accepting new patients
Lorain County Health & Dentistry Obstetrics & Gynecology CurrentSince Jun 8, 2018 Accepting new patients
Summa Physicians LLC CurrentSince Oct 27, 2025 Accepting new patients
Lorain County Health & Dentistry Current Accepting new patients
Summa Physicians LLC Obstetrics & Gynecology Current Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince Oct 18, 2017 Accepting new patients
Summa Health System Past Accepting new patients
Mercy Health-Regional Medical Center LLC Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

11100 Euclid Ave
Cleveland Heights, OH 44106

105 Louden Ct
Elyria, OH 44035

3600 Kolbe Rd
Ste 210
Lorain, OH 44053
Phone (440) 222-4567

3745 Grove Ave
Lorain, OH 44055
Phone (440) 240-1901

1205 Broadway
Lorain, OH 44052

600 Kendal Dr
Oberlin, OH 44074
Phone (440) 775-0094

260 S Main St
Oberlin, OH 44074

5319 Hoag Dr
Ste 210
Sheffield Village, OH 44035
Phone (440) 723-5685

Interoperability endpoints

  • Direct secure messaging: marcietta.wilsoncoleman.p11@direct.loraincountyhealth.nextgenshare.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1801860572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-375-6350",
            "fax_number": "330-375-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 210",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531652",
            "telephone_number": "440-960-3912",
            "fax_number": "440-960-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARCIETTA",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.008316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007282000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2493869",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236248",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.