DR. ROBERT EDWARD WENZ (NPI# 1639172984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639172984 |
| Entity Type | Individual |
| Full Name | DR. ROBERT EDWARD WENZ |
| Credential | M.D. |
| Practice Address |
4676 Douglas Cir Nw Canton OH 44718-3619 |
| Practice Telephone | 3304941116 |
| Practice Fax Number | 3304940276 |
| Mailing Telephone | 3304941116 |
| Mailing Fax Number | 3304940276 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD042140E | PA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 35058267 | OH | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MD042140E | PA | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
35.058267 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016922980003 | 05 | |
| OH | 0914998 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438623 | Robert Christian Wenz | Registered Nurse | 1 Capital Way, Pennington, NJ 08534-2520 | 2020-05-18 |
| Street Address |
4676 DOUGLAS CIR NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061876 | Joseph James Fammartino | Ophthalmology | 4676 Douglas Cir Nw, Canton, OH 44718-3619 | 2005-05-31 |
| 1386932069 | Deepam Rusia | Ophthalmology | 4676 Douglas Cir Nw, Canton, OH 44718-3619 | 2011-07-15 |
| 1316001720 | Sophia Ioannis Pachydaki | Ophthalmology | 4676 Douglas Cir Nw, Canton, OH 44718-3619 | 2006-12-20 |
| 1215027115 | Stephen M Conti | Ophthalmology | 4676 Douglas Cir Nw, Canton, OH 44718-3619 | 2006-10-13 |
| 1750347662 | Vitreo Retinal Consultants, Inc. | Ophthalmology | 4676 Douglas Cir Nw, Canton, OH 44718-3619 | 2006-04-21 |
| 1437151743 | Marcus Fawzy George Estafanous | Ophthalmology | 4676 Douglas Cir Nw, Canton, OH 44718-3619 | 2005-06-01 |
| 1568464832 | Stephen Richard Kaufman | Ophthalmology | 4676 Douglas Cir Nw, Canton, OH 44718-3619 | 2005-06-01 |
| 1205839552 | Mark Andrew Gersman | Ophthalmology | 4676 Douglas Cir Nw, Canton, OH 44718-3619 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043873763 | Kristen Nicole Thomas | Ophthalmology | 15299 Bagley Rd Ste 200, Cleveland, OH 44130-4809 | 2019-04-18 |
| 1801379797 | Tri-state Centers for Sight Inc | Ophthalmology | 5340 Rapid Run Rd Ste 2, Cincinnati, OH 45238-4260 | 2018-09-07 |
| 1427412550 | Rishi Singhal | Ophthalmology | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2016-04-05 |
| 1558781922 | Matthew Joon Young Byun | Ophthalmology | 262 Neil Ave Ste 220, Columbus, OH 43215-7310 | 2014-04-23 |
| 1669811774 | Alliance Retina | Ophthalmology | 5757 Monclova Rd Ste 11, Maumee, OH 43537-1863 | 2013-06-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.