Organization Active NPI

Lorna C. Wolfe DPM PA

  • Podiatrist
  • Frederick, MD
National Provider Identifier
1164601340
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01094 Issued in MD
Legal business name
LORNA C. WOLFE DPM PA
Practice address
182 Thomas Johnson Dr
Suite 203
Frederick, MD 21702-4407
Phone
(301) 695-9527
Fax
(301) 695-0403
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Lorna C Wolfe, DPMNPI 1801871322
Title
Owner
Phone
(301) 695-9527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 01094 MD Primary

Addresses

Primary practice location

182 Thomas Johnson Dr
Suite 203
Frederick, MD 21702-4407

Mailing address

182 Thomas Johnson Dr
Suite 203
Frederick, MD 21702-4407
Phone (301) 695-9527

Other identifiers 1

IdentifierTypeStateIssuer
303988900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080605000561 MD Part B Supplier - Clinic/Group Practice 9830269638 Receives reassigned benefits from 1 practitioner
Practice locations: Adamstown, MD; Frederick, MD
O20100930070317 MD DME Supplier - Physician - Podiatry 9830269638 Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

182 Thomas Johnson Dr
Ste 203
Frederick, MD 21702
Phone (301) 695-9527

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1164601340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 THOMAS JOHNSON DR",
            "address_2": "SUITE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024407",
            "telephone_number": "301-695-9527",
            "fax_number": "301-695-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 THOMAS JOHNSON DR",
            "address_2": "SUITE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024407",
            "telephone_number": "301-695-9527",
            "fax_number": "301-695-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORNA C. WOLFE DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-695-9527",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303988900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.