Noall E Wolff MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M3599 Issued in ID

Legal business name

NOALL E WOLFF MD

Practice address

465 Washington St
Montpelier, ID 83254-1544

Phone

(208) 847-2878

Fax

(208) 847-2340

NPI assigned

Nov 6, 2006

Last updated

Aug 29, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Noall E Wolff, MDNPI 1528140522

Title

Physician

Phone

(208) 847-2878

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noall E Wolff, MD

  • Family Medicine Physician
  • Montpelier, ID
  • NPI 1528140522
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1003985292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WASHINGTON ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541544",
            "telephone_number": "208-847-2878",
            "fax_number": "208-847-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WASHINGTON ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541544",
            "telephone_number": "208-847-2878",
            "fax_number": "208-847-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOALL E WOLFF MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "NOALL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-847-2878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M3599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP #",
            "identifier": "8L568",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807622700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary A McCarthy, LCSW
• Khristina Ashley Meissner, DO
• Modern Compounding Pharmacy
• Alex C Moss, PAC
• Brad Joseph Nelson, MSW, LMSW
• Harold A Olson, RPH
• Olson's Modern Drug Co.
• Olympus Laboratories, LLC
• Nicholas Merrill Packer, M.D.
• Joseph Edward Podany Jr., MD

• Family Medicine Physician in Montpelier, ID
• Providers in Montpelier, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.