OrganizationActive
Oneeighty, Inc.
NPI 1164904843 · Addiction Medicine (Family Medicine) Physician · Wooster, OH
Provider details
- NPI number
- 1164904843
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bobbi Douglas, Executive Director(330) 264-8498
- License
- 34.010211 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 Spink St
Wooster, OH 44691-3652
Phone: (330) 264-8498
Street-level locationGet directions
Mailing address
104 Spink St
Wooster, OH 44691-3652
Other names (DBA / former)
- Doing business as
- Oneeighty
- Doing business as
- Oneeighty
Registry dates
- Enumerated
- 2018-08-30
- Last updated
- 2018-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.