Active NPI
Stewart E. Wolfson, MD
- Anatomic Pathology Physician
- Louisville, KY
National Provider Identifier
1184751570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 16817
- Practice address
- 221 S Preston St
Louisville, KY 40202-1223 - Phone
- (502) 589-1980
- Fax
- (502) 589-1982
- NPI assigned
- Feb 27, 2007
- Last updated
- Mar 10, 2008
- 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 |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 16817 | KY | Primary |
Addresses
Primary practice location
221 S Preston St
Louisville, KY 40202-1223
Mailing address
3716 Hillsdale Rd
Louisville, KY 40222-5914
Phone (502) 425-7223
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37000130 | Medicaid | KY | |
| 000000054006 | Other | KY | ANTHEM BLUE CROSS |
| 1130651 | Other | KY | PASSPORT |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16817 | KY | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Laboratory Consultants, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Louisville, KY
- NPI 1932236148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1184751570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3716 HILLSDALE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225914",
"telephone_number": "502-425-7223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 S PRESTON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021223",
"telephone_number": "502-589-1980",
"fax_number": "502-589-1982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFSON",
"first_name": "STEWART",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "KY",
"license": "16817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37000130",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000054006",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1130651",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.