Individual provider Active NPI

Roy R Wolfe Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Beckley, WV
National Provider Identifier
1235292277
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20401 Issued in WV
Practice address
410 Carriage Dr
Beckley, WV 25801-2806
Phone
(304) 255-1541
Fax
(304) 253-7067
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20401 WV Primary

Addresses

Primary practice location

410 Carriage Dr
Beckley, WV 25801-2806

Mailing address

PO Box 463
Ghent, WV 25843-0463
Phone (304) 255-1541

Other identifiers 1

IdentifierTypeStateIssuer
2002090000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318000111 WV Practitioner - Obstetrics/Gynecology 8022908581 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Aug 1, 2003 Accepting new patients
Community Health Systems Inc CurrentSince Aug 1, 2003 Accepting new patients
New River Health Association, Inc. Past Accepting new patients

Locations

410 Carriage Dr
Beckley, WV 25801
Phone (304) 250-0333

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

390 Stanaford Rd
Beckley, WV 25801
Phone (304) 461-3320

302 Carriage Dr
Beckley, WV 25801
Phone (304) 250-0333

201 Woodcrest Dr
Beckley, WV 25801
Phone (304) 250-0272

2157 Ritter Dr
Daniels, WV 25832
Phone (304) 461-0300

Interoperability endpoints

  • Direct secure messaging: roy.wolfe@wvafn.hcadirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1235292277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "GHENT",
            "state": "WV",
            "postal_code": "258430463",
            "telephone_number": "304-255-1541",
            "fax_number": "304-253-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CARRIAGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012806",
            "telephone_number": "304-255-1541",
            "fax_number": "304-253-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "ROY",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "20401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002090000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.