Active NPI
Laurence R Wolf, MD
- Orthopaedic Surgery Physician
- Wynnewood, PA
National Provider Identifier
1174594923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD043315E
- Practice address
- 100 E Lancaster Ave
Suite 256 Lankenau Mob East
Wynnewood, PA 19096-3450 - Phone
- (610) 649-8055
- Fax
- (610) 649-4367
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD043315E | PA | Primary |
Addresses
Primary practice location
100 E Lancaster Ave
Suite 256 Lankenau Mob East
Wynnewood, PA 19096-3450
Mailing address
100 E Lancaster Ave
Suite 256 Lankenau Mob East
Wynnewood, PA 19096-3450
Phone (610) 649-8055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD043315E | PA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1174594923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"address_2": "SUITE 256 LANKENAU MOB EAST",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-649-8055",
"fax_number": "610-649-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"address_2": "SUITE 256 LANKENAU MOB EAST",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-649-8055",
"fax_number": "610-649-4367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "LAURENCE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD043315E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
- Melanie A Winter, CRNP
- John Joseph Wise, CRNP
- Beth D Wishnick Kaminsky I
- Alan Ross Wofsey, M.D.
- Mara Wojtal, CRNA
- Kristen Wolfington, CRNA
- Julianna Mercedes Wolochuk, MD
- Women for Women Division/Women'S Healthcare Group of PA
- Womens Health Care Group of PA
- Womens Health Care Group of Pennsylvania LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.