NPIMap

Organization Active NPI

Kristin Wenger DO LLC

  • Primary Care Clinic/Center
  • Wooster, OH
National Provider Identifier
1902537202
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KRISTIN WENGER DO LLC
Practice address
128 E Milltown Rd Ste 105
Wooster, OH 44691-1276
Phone
(330) 345-8060
NPI assigned
Jun 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

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

Authorized official

Name
Dr. Kristin Wenger, DONPI 1730505793
Title
Employee
Phone
(614) 406-3037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

128 E Milltown Rd Ste 105
Wooster, OH 44691-1276

Mailing address

1604 Wedgewood Way
Wooster, OH 44691-1974
Phone (614) 406-3037

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KMWenger@milltownfp.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: kmwenger@milltownfp.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660348800000",
    "number": "1902537202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 WEDGEWOOD WAY",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911974",
            "telephone_number": "614-406-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E MILLTOWN RD STE 105",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911276",
            "telephone_number": "330-345-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN WENGER DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-19",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A",
        "authorized_official_last_name": "WENGER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "614-406-3037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KMWenger@milltownfp.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "128 E Milltown Rd Ste 105",
            "city": "Wooster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446911276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; 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.