DR. JEFFREY W WAHL (NPI# 1912992496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912992496 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY W WAHL |
| Credential | M.D. |
| Practice Address |
1045 Klotz Rd Bowling Green OH 43402-4820 |
| Mailing Address |
1045 Klotz Rd Po Box 738 Bowling Green OH 43402-4820 |
| Practice Telephone | 4193527588 |
| Practice Fax Number | 4193544977 |
| Mailing Telephone | 4193527588 |
| Mailing Fax Number | 4193544977 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2009-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35054045 | OH | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35054045 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0832862 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891197638 | Jeffrey Jon Wahl | Speech-Language Pathologist | 12411 Slauson Ave, Unit H, Whittier, CA 90606 | 2014-09-24 |
| 1174726962 | Jeffrey Robert Wahl | Orthopaedic Surgery | 1000 W Lincolnway St, Suite Wco, Jefferson, IA 50129-1645 | 2007-06-08 |
| 1902966971 | Jeffrey M Wahl | Internal Medicine | 915 Old Fern Hill Rd, Bldg A, Ste 5, West Chester, PA 19380 | 2006-12-11 |
| Street Address |
1045 KLOTZ RD |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050070 | Leann Niccole Mcgraw | Social Worker | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2020-10-15 |
| 1508463514 | Mark Anthony Johnson Jr. | Social Worker | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2020-10-02 |
| 1841804705 | Joseph Stockton | Social Worker | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2020-09-08 |
| 1053925362 | Astasha Perrine | Counselor | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2020-09-03 |
| 1902430721 | Kimberly C Molnar | Counselor | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2020-03-02 |
| 1003452350 | Tess J Lohse | Social Worker | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2019-11-21 |
| 1962047019 | Tabatha Marie Miller | Social Worker | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2019-11-13 |
| 1629612031 | Emily Perkins | Community/Behavioral Health | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2019-10-30 |
| 1477196442 | Kelsey Morgan Parker | Social Worker | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2019-10-23 |
| 1750932059 | Courtney Sheridan | Licensed Practical Nurse | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427145275 | Charu Raguvanshi | Psychiatry & Neurology | 350 Park St, Suite 204, Bowling Green, KY 42101-1784 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669882890 | Nimisha Paul Thuluvath | Psychiatry & Neurology | 601 S Edwin Moses Blvd, Dayton, OH 45417-3424 | 2014-04-28 |
| 1467896142 | Erin Campbell Fulchiero | Psychiatry & Neurology | 551 East Washington St., Chagrin Falls, OH 44022 | 2013-04-24 |
| 1578820452 | Sree Latha Krishna Jadapalle | Psychiatry & Neurology | 11395 Cheyenne Trail, Apt 101, Parma Heights, OH 44130 | 2012-04-18 |
| 1801180401 | Brio Neurobehavioral Consultants | Psychiatry & Neurology | 3567 Reserve Commons Dr, Suite 125, Medina, OH 44256-5323 | 2011-06-01 |
| 1477861862 | Stacy A Solheim | Psychiatry & Neurology | Wright Patterson Medical Center - 88 Mdos/sgow, 4881 Sugar Maple Ave, Wpafb, OH 45433-5529 | 2010-09-20 |
| 1841506763 | Jackosky Health Inc | Psychiatry & Neurology | 30400 Detroit Rd Ste 404, Westlake, OH 44145-1855 | 2010-08-30 |
| 1467768531 | Jillian Alexis Shellabarger | Psychiatry & Neurology | 1522 E Us Highway 36, Urbana, OH 43078-9738 | 2010-08-26 |
| 1538321062 | Deborah Amann | Psychiatry & Neurology | 9403 Kenwood Rd Ste B120, Blue Ash, OH 45242-6884 | 2008-06-26 |
| 1154597839 | Aditi M Sheth | Psychiatry & Neurology | 2720 Sweetwater Dr, Brecksville, OH 44141-4101 | 2008-05-02 |
| 1699970608 | Family & Youth Institute | Psychiatry & Neurology | 14 Sandalwood Drive, Newark, OH 43055 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
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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.