Berea Family Medicine, Inc
NPI 1629190921ActiveOrganization· Family Medicine· Berea, OH
Family Medicine in Berea, Ohio, registered in NPPES in April 2007. The authorized official on file is Mary Ellen Wiggenhorn, LPN, Practice Manager.
Overview
| NPI | 1629190921 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2007 |
| Last updated in NPPES | Oct 20, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 35049545 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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