NPIMap

Individual provider Active NPI

Marina Lynn Wittensoldner, CNP

  • Family Medicine Physician
  • Massillon, OH
National Provider Identifier
1912471624
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
024093 Issued in OH
Practice address
830 Amherst Rd NE Ste 201
Massillon, OH 44646-8518
Phone
(330) 834-4725
Fax
(330) 834-4726
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 024093 OH Primary

Addresses

Primary practice location

830 Amherst Rd NE Ste 201
Massillon, OH 44646-8518

Mailing address

1007 27TH St NE
Canton, OH 44714-1708
Phone (330) 501-8107

Other names 1

  • Miss Marina Lynn Verbosky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190312003657 OH Practitioner - Nurse Practitioner 1951641885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aultman Deuble Heart and Vascular Hospital, LLCGroup PAC ID 1850726126, 109 clinicians

Practice addresses (Care Compare)

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-8076

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.19 of 100Reported as group
Quality
63.25
Promoting interoperability
98
Improvement activities
40
Cost
72.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
024093OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stark County Pathologists Inc Current Accepting new patients
Aultman Deuble Heart & Vascular Hospital, LLC CurrentSince May 18, 2020 Accepting new patients
Aultman Hospital Current Accepting new patients
Canton Aultman Emergency Physicians Inc Current Accepting new patients
Aultman Hospital CurrentSince May 11, 2020 Accepting new patients
Aultman Hospital CurrentSince May 11, 2020 Accepting new patients

Locations

2600 6th St SW
Ste A2710
Canton, OH 44710
Phone (330) 429-5656

2600 6th St SW
Ste A2800
Canton, OH 44710

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
#A2
Canton, OH 44710
Phone (330) 363-1342

6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200

Interoperability endpoints

  • Direct secure messaging: marina.wittensoldner@direct.aultman.org

Organizations & group practices 6

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 4

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1912471624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 27TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141708",
            "telephone_number": "330-501-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 AMHERST RD NE STE 201",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468518",
            "telephone_number": "330-834-4725",
            "fax_number": "330-834-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTENSOLDNER",
        "first_name": "MARINA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "024093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINA",
            "last_name": "VERBOSKY",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.