OrganizationActive
Mary Wonderly MD LLC
NPI 1912167750 · Family Medicine Physician · Fremont, OH
Mary Wonderly MD LLC is a Family Medicine Physician organization in Fremont, OH (NPI 1912167750).
Provider details
- NPI number
- 1912167750
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Denise Kerlin, Office Manager(419) 332-3560
- License
- 35-082561 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2575 Hayes Ave Ste 5
Fremont, OH 43420-5201
Phone: (419) 332-3560
Fax: (419) 332-3565
Street-level locationGet directions
Mailing address
2575 Hayes Ave Ste 5
Fremont, OH 43420-5201
Registry dates
- Enumerated
- 2008-06-16
- Last updated
- 2008-11-26
Frequently asked questions
- What is Mary Wonderly MD LLC's NPI number?
- Mary Wonderly MD LLC's National Provider Identifier (NPI) is 1912167750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Wonderly MD LLC?
- Mary Wonderly MD LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Wonderly MD LLC located?
- Mary Wonderly MD LLC's practice location on file with NPPES is 2575 Hayes Ave Ste 5, Fremont, OH 43420-5201.
- What is Mary Wonderly MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Mary Wonderly MD LLC is (419) 332-3560.
- Who is the authorized official for Mary Wonderly MD LLC?
- The authorized official listed on Mary Wonderly MD LLC's NPPES record is Denise Kerlin, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Wonderly MD LLC's NPI active?
- Yes — Mary Wonderly MD LLC's NPI (1912167750) is active in the NPPES registry as of the last update on 2008-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.