Individual provider Active NPI

Anne Marie Chicorelli, D.O.

  • Orthopaedic Surgery Physician
  • Wooster, OH
National Provider Identifier
1922339308
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34010345 Issued in OH
Practice address
3727 Friendsville Rd
Suite 5
Wooster, OH 44691-7131
Phone
(330) 263-8428
Fax
(330) 263-8190
NPI assigned
Jan 25, 2010
Last updated
Feb 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 244718 MA
Orthopaedic Surgery Physician 207X00000X OS013876 PA
Orthopaedic Surgery Physician 207X00000X 34010345 OH Primary

Addresses

Primary practice location

3727 Friendsville Rd
Suite 5
Wooster, OH 44691-7131

Mailing address

Dept 781584
PO Box 78000
Detroit, MI 48278-1584
Phone (330) 263-8428

Other identifiers 1

IdentifierTypeStateIssuer
0066850MedicaidOH

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
I20111203000049 OH Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5092980060 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1761 Beall Ave
Wooster, OH 44691-2342

6801 Breacksville Rd
Independence, OH 44131-5058

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244718MAMDOrthopaedic Surgery Physician
34010345OHMDOrthopaedic Surgery Physician
OS013876PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Clinic, LLC CurrentSince Nov 17, 2022 Accepting new patients
Bloomington Medical Services LLC CurrentSince Nov 1, 2011 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Mar 17, 2021 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

970 E Washington St
Medina, OH 44256
Phone (330) 723-7246

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

3727 Friendsville Rd
Unit 5
Wooster, OH 44691
Phone (330) 202-3420

721 E Milltown Rd
Wooster, OH 44691
Phone (330) 287-4500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1922339308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 781584",
            "address_2": "PO BOX 78000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781584",
            "telephone_number": "330-263-8428",
            "fax_number": "330-263-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 FRIENDSVILLE RD",
            "address_2": "SUITE 5",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917131",
            "telephone_number": "330-263-8428",
            "fax_number": "330-263-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICORELLI",
        "first_name": "ANNE MARIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "244718",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS013876",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "34010345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066850",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.