NPIMap

Organization Active NPI

Dpmwoleryproh LLC

  • Primary Podiatric Medicine Podiatrist
  • Portsmouth, OH
National Provider Identifier
1215983770
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
36.001607 Issued in OH
Legal business name
DPMWOLERYPROH LLC
Practice address
818 Gay St
Portsmouth, OH 45662-4119
Phone
(740) 355-3095
Fax
(740) 355-3935
NPI assigned
May 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William M Wolery, DPM
Title
Owner
Phone
(740) 355-3095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 36.001607 OH Primary

Addresses

Primary practice location

818 Gay St
Portsmouth, OH 45662-4119

Mailing address

818 Gay St
Portsmouth, OH 45662-4119
Phone (740) 355-3095

Other identifiers 1

IdentifierTypeStateIssuer
0166378MedicaidOH

National Provider Directory

National Provider Directory

Locations

818 Gay St
Portsmouth, OH 45662
Phone (740) 355-3095

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215983770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 GAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624119",
            "telephone_number": "740-355-3095",
            "fax_number": "740-355-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 GAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624119",
            "telephone_number": "740-355-3095",
            "fax_number": "740-355-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPMWOLERYPROH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLERY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-355-3095",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36.001607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166378",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.