Dirk M Wonnell, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35-05-6608 Issued in OH

Practice address

3301 Mercy Health Blvd
Suite 525
Cincinnati, OH 45211-1104

Phone

(513) 841-7700

Fax

(513) 841-7701

NPI assigned

Jun 12, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Tri State Urologic Services PSC

  • Urology Physician
  • Cincinnati, OH
  • NPI 1225221914
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1891737102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 JOSEPH E SANKER BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452121979",
            "telephone_number": "513-841-7400",
            "fax_number": "513-841-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BLVD",
            "address_2": "SUITE 525",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111104",
            "telephone_number": "513-841-7700",
            "fax_number": "513-841-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONNELL",
        "first_name": "DIRK",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35-05-6608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0709648",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340011135",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64955107",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276946",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Wones, MD
• Alfred Wong
• Beatrix Wong, LGC
• Peter K Wong, PHD RPH MBA MS
• Wai Shun Wong, MD
• Daniel Woo, MD
• Jong Moon Woo, MD
• Alexyss Wood
• April Angel Wood
• Caleb Wood, PSY.D.

• Urology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.