Wilmington Physicians Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WILMINGTON PHYSICIANS GROUP LLC

Practice address

610 W Main St
Wilmington, OH 45177-2125

Phone

(937) 382-5438

Fax

(937) 382-5260

NPI assigned

Dec 3, 2010

Last updated

Jan 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy J Teague

Title

Secretary

Phone

(615) 920-7000

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, LA, SC, FL, PA, GA, AL, CA, AZ, NY, MI11 enrollments

Enrollment records 11

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Constandi Aschi, DO

  • Urology Physician
  • Wilmington, OH
  • NPI 1467463695
  Medicare reassignment Care Compare group NPD
• Rodel Cacas, M.D.

  • Family Medicine Physician
  • Sabina, OH
  • NPI 1568752236
  Medicare reassignment Care Compare group NPD
• Ashley Nicole Dingman, FNP-C

  • Family Nurse Practitioner
  • Blanchester, OH
  • NPI 1811711740
  Medicare reassignment Care Compare group NPD
• Daniel Ross Fogt

  • Surgery Physician
  • Wilmington, OH
  • NPI 1083103865
  Medicare reassignment Care Compare group NPD
• Cheyenne M Gasaway, NP

  • Family Nurse Practitioner
  • Wilmington, OH
  • NPI 1881133106
  Medicare reassignment Care Compare group NPD
• Roxanne Rose Groseth, WHNP-BC

  • Women's Health Nurse Practitioner
  • Wilmington, OH
  • NPI 1457047771
  Medicare reassignment Care Compare group NPD
• Mark William Hodges, MD

  • Internal Medicine Physician
  • Washington Court House, OH
  • NPI 1710974209
  Medicare reassignment Care Compare group NPD
• Dennis Russell Holderman, MD

  • Family Medicine Physician
  • Wilmington, OH
  • NPI 1588622260
  Medicare reassignment Care Compare group NPD
• Aco Jovanov, MD

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1639179856
  Medicare reassignment Care Compare group NPD
• Tracy Dean Kelley, CNP

  • Family Nurse Practitioner
  • Wilmington, OH
  • NPI 1851943757
  Medicare reassignment Care Compare group NPD
• Rachel Christine Lovano, MD

  • Surgery Physician
  • Wilmington, OH
  • NPI 1710128855
  Medicare reassignment Care Compare group NPD
• Derek J Menkedick, D.O.

  • Neurology Physician
  • Centerville, OH
  • NPI 1699137364
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1932401411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772125",
            "telephone_number": "937-283-9845",
            "fax_number": "937-283-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772125",
            "telephone_number": "937-382-5438",
            "fax_number": "937-382-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilmington City Schools
• Wilmington Foot and Ankle Inc
• Wilmington Healthcare Group, Inc. (Wilmington Nursing & Rehabilitation Center)
• Wilmington Medical Associates, Inc.
• Wilmington Nursing & Rehabilitation Center LLC
• Wilmington Surgery Center
• Wilmington Surgical Associates, Inc.
• Wilmington Surgical Services LLC
• Charles Wilson
• Megan Winegar, PT

• Family Medicine Physician in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.