1. Home
  2. Directory
  3. Ohio
  4. Fremont
  5. Family Medicine
  6. NPI Profile

MARY WONDERLY MD LLC
NPI 1912167750
Family Medicine in Fremont, OH

Active since June 16, 2008
2575 HAYES AVE STE 5, FREMONT, OH 43420(419) 332-3560(419) 332-3565 Get Directions Write a Review

NPPES record last updated: November 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Wonderly Md Llc NPPES

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

MARY WONDERLY MD LLC (NPI 1912167750) is a healthcare organization registered as a family medicine in Fremont, Ohio and active in the NPI registry since June 2008. The organization lists Denise Kerlin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912167750
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARY WONDERLY MD LLC
Location Address2575 HAYES AVE STE 5Fremont, OH 43420-5201
Mailing Address2575 Hayes Ave Ste 5Fremont, OH 43420-5201 · (419) 332-3560 · Fax (419) 332-3565
Phone(419) 332-3560
Fax(419) 332-3565
Organization SubpartNo
Authorized OfficialDenise KerlinOffice Manager · (419) 332-3560
Enumeration DateJune 16, 2008
Last NPPES UpdateNovember 26, 2008
✔ NPI 1912167750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35-082561
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2575 HAYES AVE STE 5, Fremont, OH 43420
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH82535OH
Medicaid2825045OH
Medicare PIN9377821OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mary Wonderly MD LLC's NPI number?

The NPI number for Mary Wonderly MD LLC is 1912167750. It was assigned to this organization in the NPPES registry on June 16, 2008.

Where is Mary Wonderly MD LLC located?

Mary Wonderly MD LLC is located at 2575 Hayes Ave Ste 5, Fremont, OH 43420. The listed phone number is (419) 332-3560.

What is Mary Wonderly MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Wonderly MD LLC was last updated on November 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.