WESLEY MORGAN HANNEBAUM MCCOMAS (NPI# 1952888422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952888422 |
| Entity Type | Individual |
| Full Name | WESLEY MORGAN HANNEBAUM MCCOMAS |
| Credential | FNP |
| Practice Address |
3006 N County Road 25a Ste 200 Troy OH 45373-1372 |
| Mailing Address |
Po Box 1043 Troy OH 45373-8043 |
| Practice Telephone | 9373398426 |
| Practice Fax Number | 9373359790 |
| Mailing Telephone | 9378752745 |
| Mailing Fax Number | 9373359840 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP022835 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Remick Blvd, Springboro, OH 450669168 | 9376190222 | 9376196248 |
| Street Address |
3006 N COUNTY ROAD 25A STE 200 |
| City | TROY |
| State | OH |
| Zip Code | 45373-1372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356395719 | Michelle M Choucair | Dermatology | 3006 N County Road 25a Ste 200, Troy, OH 45373-1372 | 2006-05-20 |
| 1295343358 | Rachel Nicole Witt | Nurse Practitioner | 3006 N County Road 25a Ste 200, Troy, OH 45373-1372 | 2020-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998777 | Nila Ellison | Nurse Practitioner | 2810 Alisop Pl Apt 306, Troy, MI 48084-3470 | 2020-10-04 |
| 1689286262 | Kayla Dawn Metz | Nurse Practitioner | 101 Hunters Mountain Pkwy, Troy, AL 36079-5895 | 2020-08-17 |
| 1801421953 | Veronica Talevska | Nurse Practitioner | 1054 Henrietta Ave, Troy, MI 48083-1908 | 2020-03-10 |
| 1245878636 | Kim S Hussey | Nurse Practitioner | 989 Elba Hwy, Troy, AL 36079-6050 | 2019-12-16 |
| 1548804685 | Kelly N Lofton | Nurse Practitioner | 144 Prison Ln, Troy, VA 22974 | 2019-11-01 |
| 1740831528 | Monica Hallac | Nurse Practitioner | 3630 Old Creek Rd, Troy, MI 48084-1658 | 2019-09-24 |
| 1053961482 | Vian Murad | Nurse Practitioner | 752 Amberwood Dr, Troy, MI 48085-1676 | 2019-09-17 |
| 1245886100 | Sheila Kay Mitchell | Nurse Practitioner | 101 Hunter Mountain Parkway, Troy, AL 36081-3608 | 2019-08-15 |
| 1427510262 | Allison Michelle Harper | Nurse Practitioner | 3006 N County Road 25a Ste 102, Troy, OH 45373-1373 | 2019-04-02 |
| 1669940409 | Astasia C Goodenough | Nurse Practitioner | 5680 Wright Dr, Troy, MI 48098-2917 | 2018-11-09 |
| Find all providers in TROY | ||||
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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.