NPIMap

Individual provider Active NPI

Wulf Hirschfield, MD

  • Internal Medicine Physician
  • Waynesboro, MS
National Provider Identifier
1114995537
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15778 Issued in MS
Practice address
920 Matthew Dr
Suite D
Waynesboro, MS 39367-2553
Phone
(601) 735-3918
Fax
(601) 735-4227
NPI assigned
Mar 10, 2006
Last updated
Jan 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15778 MS Primary

Addresses

Primary practice location

920 Matthew Dr
Suite D
Waynesboro, MS 39367-2553

Mailing address

920 Matthew Dr
Suite D
Waynesboro, MS 39367-2553
Phone (601) 735-3918

Other identifiers 1

IdentifierTypeStateIssuer
00119144MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000814 MS Practitioner - Internal MedicinePractitioner - Emergency Medicine 9032234505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne General HospitalGroup PAC ID 2668457581, 47 clinicians

Practice addresses (Care Compare)

950 Matthew Dr
Waynesboro, MS 39367-2567
Phone (601) 735-5151

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne General Hospital Current Accepting new patients
Wayne General Hospital CurrentSince Aug 26, 2002 Accepting new patients
Wayne General Hospital CurrentSince Aug 26, 2002 Accepting new patients
Wayne General Hospital Past Accepting new patients
Wayne General Hospital Past Accepting new patients
Wayne General Hospital Past Accepting new patients
1304 Walnut Street Operations, LLC Past Accepting new patients
Wayne General Hospital Past Accepting new patients
Wayne General Hospital Past Accepting new patients
Wayne General Hospsital Past Accepting new patients

Locations

920 Matthew Dr
Ste D
Waynesboro, MS 39367
Phone (601) 735-3918

927 Wayne St
Waynesboro, MS 39367
Phone (601) 735-5500

940 Matthew Dr
Ste 5
Waynesboro, MS 39367
Phone (601) 735-7285

950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151

951 Matthew Dr
Ste A
Waynesboro, MS 39367
Phone (601) 735-2401

951 Matthew Dr
Ste D
Waynesboro, MS 39367
Phone (601) 671-2746

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pine View Health and Rehabilitation CenterWaynesboro, MS, CCN 255286 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2022
Apr 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1114995537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MATTHEW DR",
            "address_2": "SUITE D",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672553",
            "telephone_number": "601-735-3918",
            "fax_number": "601-735-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MATTHEW DR",
            "address_2": "SUITE D",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672553",
            "telephone_number": "601-735-3918",
            "fax_number": "601-735-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHFIELD",
        "first_name": "WULF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119144",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, MS

Sources for this page

Verify at the official NPI Registry.