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JUSTIN DAVID WILDEMANN MD
NPI 1235636879
Student in an Organized Health Care Education/Training Program in Mansfield, OH

Active since April 10, 2018
1029 S TRIMBLE RD, MANSFIELD, OH 44906(419) 522-3341 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2021, Apr 10, 2018 (2 updates tracked since 2018).

About Justin David Wildemann Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN DAVID WILDEMANN MD (NPI 1235636879) is an individual student in an organized health care education/training program in Mansfield, Ohio, licensed in Ohio (57.246367) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1235636879
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN DAVID WILDEMANNCredential: MD
Location Address1029 S TRIMBLE RDMansfield, OH 44906-3427
Mailing Address1029 S Trimble RdMansfield, OH 44906-3427 · (419) 522-3341
Phone(419) 522-3341
Sole ProprietorNo
Enumeration DateApril 10, 2018
Last NPPES UpdateJune 16, 20212 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
✔ NPI 1235636879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OH · 57.246367
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1029 S TRIMBLE RD, Mansfield, OH 44906
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, SummaCare, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIEYRA IRENE THRUSH CNP
Nurse Practitioner
1029 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-3341
ACHILLES E LITAO M.D.
Pediatrics
1029 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-3341
BRITTANY BAYER CNP
Nurse Practitioner (Family)
1029 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-3341
DR. ROBERT DAVID BURNS M.D.
Pediatrics
1029 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-3341
KELLY GEYER APRN-CNP
Nurse Practitioner (Family)
1029 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-3341
BETH MICHELLE NADLER
Nurse Practitioner
1029 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-3341
BRITTANY METZLER APRN
Nurse Practitioner (Psychiatric/Mental Health)
1029 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (330) 543-1000
DR. CELIA JANE FLINN M.D.
Pediatrics
1029 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-3341

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Wildemann's NPI number?

The NPI number for Justin Wildemann is 1235636879. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Justin Wildemann located?

Justin Wildemann practices at 1029 S Trimble Rd, Mansfield, OH 44906. The listed phone number is (419) 522-3341.

What is Justin Wildemann's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

What insurance does Justin Wildemann accept?

Health plans from MedMutual, SummaCare and UnitedHealthcare list Justin Wildemann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Wildemann was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.