Marilyn A Wahe, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME68698 Issued in FL

Practice address

700 2ND Ave N
Ste 203
Naples, FL 34102-5756

Phone

(239) 643-8055

Fax

(239) 403-4909

NPI assigned

Jan 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Marilyn a Wahe MD PA

  • Nephrology Physician
  • Naples, FL
  • NPI 1376723171
  NPD (past) Authorized official

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952372229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 2ND AVE N",
            "address_2": "STE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025756",
            "telephone_number": "239-643-8055",
            "fax_number": "239-403-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 2ND AVE N",
            "address_2": "STE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025756",
            "telephone_number": "239-643-8055",
            "fax_number": "239-403-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHE",
        "first_name": "MARILYN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME68698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251664100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Marija Wage
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• Joshua Wagner, DC
• Kristine Lee Wagner, PA-C
• Rachael Wagner, RN
• Rachel Wahl, PHARMD
• Stephen Robert Waite, PHARMD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1957)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3417)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-4354)

• Nephrology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.