Thomas Wulff Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.004208 Issued in OH

Practice address

7215 Old Oak Blvd
Ste a-311
Cleveland, OH 44130-3340

Phone

(440) 891-8880

Fax

(440) 891-8884

NPI assigned

Nov 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Hometown Urgent Care of Michigan, P.C.

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1790030385
  NPD (past)
• Outreach Professional Services Inc

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1134119829
  NPD (past)

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1023414455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441220958",
            "telephone_number": "216-595-9600",
            "fax_number": "216-595-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD",
            "address_2": "STE A-311",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303340",
            "telephone_number": "440-891-8880",
            "fax_number": "440-891-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULFF",
        "first_name": "THOMAS",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-12",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Wu, M.D.
• Vincent Wu, MD
• Wei Kelly Wu, M.D.
• Yeetun Wu, MD
• Yingxin Wu, APRN.CNP
• Ellen Convery Wurm, M.D.
• Brooke Wurster, RD, LD
• Daniel Matthew Wutsch
• Wyandotte Home Health Care Company
• Krista Lynn Wycinsky, CF-SLP

• Physician Assistant in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.