WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC – Family Medicine Physician, NPI 1326371675
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC
122 Martz St
Greenville, OH 453311052
Phone: (937) 569-6707
Fax: (937) 459-5063
Type: Location
820 Central Ave
Greenville, OH 453311206
Phone: (937) 548-5365
Fax: (937) 548-4456
Type: Location
828 Central Ave
Greenville, OH 453311206
Phone: (937) 569-6996
Fax: (937) 569-6079
Type: Location
804 Central Ave
Greenville, OH 453311206
Phone: (937) 547-0107
Fax: (937) 547-0335
Type: Location
622 E Elm St
Union City, OH 453901722
Phone: (937) 968-7416
Fax: (937) 968-3026
Type: Location
Wayne Healthcare, 835, Sweitzer Street, Greenville, Darke County, Ohio, 45331, United States
GREENVILLE, OH 453311007
Phone: (937) 548-1141
Fax: (937) 547-5789
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-01-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (282 days ago).
Enrollment records
1
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100115000590 | O | Clinic/Group Practice | OH | 2025-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45331)
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