Individual provider Active NPI

Christopher Scott Wahl, D.O.

  • Emergency Medicine Physician
  • Akron, OH
National Provider Identifier
1922462183
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.013952 Issued in OH
Practice address
525 E Market St
Akron, OH 44304-1619
Phone
(313) 550-3839
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 34.013952 OH Primary

Addresses

Primary practice location

525 E Market St
Akron, OH 44304-1619

Mailing address

8 Cabri LN
Dearborn Heights, MI 48127-3478
Phone (313) 562-2705

Other practice location 1

4201 Saint Antoine St
6G Uhc
Detroit, MI 48201-2153
Phone (313) 993-2529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220817000887 WV Practitioner - Emergency Medicine 8426349176 Reassigns benefits to 2 organizations
I20230419000540 MI Practitioner - Emergency Medicine 8426349176 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.013952OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Emergency Services CurrentSince Apr 1, 2023 Accepting new patients
Racine Observation Medical Group, PLLC Emergency Medicine CurrentSince Jul 12, 2022 Accepting new patients
Allied West Virginia Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 12, 2022 Accepting new patients
Mercy Health Youngstown LLC PastSince Oct 1, 2022 Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

4201 Saint Antoine St
#6G
Detroit, MI 48201
Phone (313) 993-2529

1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1922462183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CABRI LN",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273478",
            "telephone_number": "313-562-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "313-550-3839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Saint Antoine St",
            "address_2": "6G UHC",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "313-993-2529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHL",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.013952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.