Individual provider Active NPI

Steven D Wolf, D.O.

  • Obstetrics & Gynecology Physician
  • Cleveland, TN
National Provider Identifier
1013980556
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1531 Issued in TN
Practice address
2301 N Ocoee St
Suite a
Cleveland, TN 37311-3863
Phone
(423) 339-1400
Fax
(423) 339-9951
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1531 TN Primary

Addresses

Primary practice location

2301 N Ocoee St
Suite a
Cleveland, TN 37311-3863

Mailing address

2301 N Ocoee St
Suite a
Cleveland, TN 37311-3863
Phone (423) 339-1400

Other identifiers 1

IdentifierTypeStateIssuer
3814231MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000658 TN Practitioner - Obstetrics/Gynecology 4587615414 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1531TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecircle Womens Health Care PC CurrentSince May 12, 2003 Accepting new patients
Lifecircle Womens Health Care PC CurrentSince May 12, 2003 Accepting new patients
Anesthesia Alliance Solutions PastSince Nov 1, 2018 Accepting new patients

Locations

2301 N Ocoee St
Ste A
Cleveland, TN 37311
Phone (423) 322-6399

2301 N Ocoee St
Cleveland, TN 37311
Phone (423) 339-1400

Interoperability endpoints

  • Direct secure messaging: swolf@lifecircle.gwaydirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1013980556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N OCOEE ST",
            "address_2": "SUITE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113863",
            "telephone_number": "423-339-1400",
            "fax_number": "423-339-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N OCOEE ST",
            "address_2": "SUITE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113863",
            "telephone_number": "423-339-1400",
            "fax_number": "423-339-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "STEVEN",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "1531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3814231",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.