Kevin J Wickenheiser (NPI# 1043506520, PAC ID# 7214160001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1043506520 |
| PAC ID by PECOS | 7214160001 |
| Professional Enrollment ID | I20160831001486 |
| Full Name | Kevin J Wickenheiser |
| Organization Legal Name | MERCY EMERGENCY CARE SERVICES INC |
| Address |
2213 Cherry St Toledo OH 43608-2603 |
| Phone Number | 4192513232 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9436475795 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360081 | MERCY ST CHARLES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2213 Cherry St, Toledo, OH 43608-2603 | 4192513232 | MERCY EMERGENCY CARE SERVICES INC |
| Organization Legal Name | MERCY EMERGENCY CARE SERVICES INC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edna A Lump | Nurse Practitioner | Mercy Emergency Care Services Inc | 3404 W Sylvania Ave, Toledo, OH 43623-4467 |
| Kathy Lynn Zeller | Nurse Practitioner | Mercy Emergency Care Services Inc | 2213 Cherry St, Toledo, OH 43608-2603 |
| Wesley D Martus | Emergency Medicine | Mercy Emergency Care Services Inc | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Fenil M Kholwadwala | Emergency Medicine | Mercy Emergency Care Services Inc | 730 W Market St, Lima, OH 45801-4602 |
| Erica B Goldberger | Emergency Medicine | Mercy Emergency Care Services Inc | 3404 W Sylvania Ave, Toledo, OH 43623-4467 |
| Alicia M Shelby | Emergency Medicine | Mercy Emergency Care Services Inc | 3404 W Sylvania Ave, Toledo, OH 43623-4467 |
| Wendelin Kreifels | Emergency Medicine | Mercy Emergency Care Services Inc | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Aaron Matthew Orqvist | Emergency Medicine | Mercy Emergency Care Services Inc | 10450 New Haven Rd, Harrison, OH 45030-2780 |
| Emily C Barbee | Emergency Medicine | Mercy Emergency Care Services Inc | 730 W Market St, Lima, OH 45801-4602 |
| Margaret G Krebs | Emergency Medicine | Mercy Emergency Care Services Inc | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Street Address |
2213 CHERRY ST |
| City | TOLEDO |
| State | OH |
| Zip | 43608-2603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory T Halstead | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Ohio LLC | 2213 Cherry St, Toledo, OH 43608-2603 |
| Kevin Michael Raduege | Anesthesiology | Northstar Anesthesia of Ohio LLC | 2213 Cherry St, Toledo, OH 43608-2603 |
| Carl Jefferson Kesler | Plastic and Reconstructive Surgery | Mercy Health Physicians - North, LLC. | 2213 Cherry St, Suite Acc 200, Toledo, OH 43608-2603 |
| Deepa Mukundan | Infectious Disease | Mercy Health Physicians - North, LLC. | 2213 Cherry St, Toledo, OH 43608-2603 |
| Christine S Harwood | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Ohio LLC | 2213 Cherry St, Toledo, OH 43608-2603 |
| William L Seal | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Ohio LLC | 2213 Cherry St, Toledo, OH 43608-2603 |
| Michael F Todd | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Ohio LLC | 2213 Cherry St, Toledo, OH 43608-2603 |
| Christopher Michael Hauger | Internal Medicine | Mercy Health Physicians - North, LLC. | 2213 Cherry St, Toledo, OH 43608-2603 |
| Tamara Tobian | Certified Clinical Nurse Specialist (cns) | Mercy Health Physicians - North, LLC. | 2213 Cherry St, Toledo, OH 43608-2603 |
| Laila Hakam | Internal Medicine | Mercy Health Physicians - North, LLC. | 2213 Cherry St, Toledo, OH 43608-2603 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Rittenhouse | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Ohio LLC | 2213 Cherry St, Toledo, OH 43608-2603 |
| Dominic W Robinson | Anesthesiology | Northstar Anesthesia of Ohio LLC | 2213 Cherry St, Toledo, OH 43608-2603 |
| Penny Graves | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2213 Cherry St, Toledo, OH 43608-2603 |
| Kathy Lynn Zeller | Nurse Practitioner | Mercy Emergency Care Services Inc | 2213 Cherry St, Toledo, OH 43608-2603 |
| Jessica Newman | Anesthesiology | Northstar Anesthesia of Ohio LLC | 2213 Cherry St, Toledo, OH 43608-2603 |
| Renee Harrison | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Ohio LLC | 2213 Cherry St, Toledo, OH 43608-2603 |
| Aaron N Moore | General Surgery | Mercy Health Physicians - North, LLC. | 2213 Cherry St, Toledo, OH 43608-2603 |
| Darlene M Wilhelm | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2213 Cherry St, Toledo, OH 43608-2603 |
| Kathryn S Maloy | Obstetrics/gynecology | Mercy Health Physicians - North, LLC. | 2213 Cherry St, Toledo, OH 43608-2603 |
| John J Dooner | Anesthesiology | Northstar Anesthesia of Ohio LLC | 2213 Cherry St, Toledo, OH 43608-2603 |
| Find all physicians in zip 43608 | |||
| City | TOLEDO |
| Zip Code | 43608 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | TOLEDO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kevin J Wickenheiser.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.