Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael Todd Wietmarschen, AT

Individual provider Athletic Trainer · NPI 1457434508

Mr. Michael Todd Wietmarschen, AT is a Physician Assistant in Columbus, Ohio. Qualified in 2009, 17 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

323 E Town St
Columbus, OH 43215-4767
Phone: (614) 461-8714
Fax: (614) 461-9155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 50.003003 (OH)
Athletic Trainer Taxonomy 2255A2300X · Licence AT002804 (OH)

Record details

NPI number1457434508
Entity typeIndividual (Type 1)
GenderMale
Credentials AT
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESJanuary 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Ohiohealth Corporation — 2289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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