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Active NPI 1275738551 Individual Practitioner Male Practitioner

Wayne S. Knesebeck , PC

Specialist • Ashtabula, OH

Professional Overview & Biography Verified Profile Summary

Wayne Knesebeck, PC is a registered healthcare professional specializing in Specialist in Ashtabula, OH. Practice services are available at 4200 PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4200 Park Ave
3rd Floor

Ashtabula, OH 440046887

Telephone 4409922121
Fax 4409925974
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Ashtabula, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Ashtabula, OH (1444 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH OHIO LIC C0501083

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Npi Number
1851352959 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Mary Ellen Blake , LPCC

Counselor - Mental Health

NPI 1093875783

Licensed Professional Clinical Counselor

Deryl Nazor , LSW

Social Worker - Clinical

NPI 1215076047

Licensed Social Worker

Denise Palma , SWA

Social Worker

NPI 1518027275

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4200 PARK AVE, 3RD FLOOR, ASHTABULA, OH 440046887 (Tel: 4409922121)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4200 PARK AVE, 3RD FLOOR, ASHTABULA, OH 440046887 (Tel: 4409922121)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WAYNE KNESEBECK, P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #OHIO LIC C0501083 in OH)

🟢
Initial NPI Registration & Enumeration June 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275738551
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4200 Park Ave, 3rd Floor

Ashtabula, OH 440046887

Phone: 4409922121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.