Abigail Wolfe, PA-C

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C08482 Issued in MD

Practice address

606 Dutchmans LN
Easton, MD 21601-3305

Phone

(410) 310-6888

NPI assigned

Jul 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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.

• Bay Pediatric Center

  • Pediatrics Physician
  • Easton, MD
  • NPI 1730204827

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1194450890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013305",
            "telephone_number": "410-310-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013305",
            "telephone_number": "410-310-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "ABIGAIL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "C08482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@baypeds.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Dutchmans Ln",
            "city": "Easton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216013305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Jean Wise, OTR/L
• Douglas Fenton Wiseman, MD
• Mary K Wittig
• Nancy Kathryne Wohlser, RNC
• Sara Woldemichael, PHARMD.
• Charlie Woodrow Wolfe, BA
• Horace Kent Wood, DMD
• Margaret B Wood, MSPT
• Melissa Danielle Wood, CRNP, FNP-C
• Kimberly Ann Woodward, PT

• Pediatrics Physician in Easton, MD
• Providers in Easton, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.