Individual provider Active NPI

Lance Everett Wolf, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Conroe, TX
National Provider Identifier
1245613793
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2310 Issued in TX
Practice address
2010 S Loop 336 W Ste 100
Conroe, TX 77304
Phone
(936) 756-0800
Fax
(936) 756-0812
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2310 TX Primary

Addresses

Primary practice location

2010 S Loop 336 W Ste 100
Conroe, TX 77304

Mailing address

2010 S Loop 336 W Ste 100
Conroe, TX 77304-3313
Phone (936) 756-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180801002463 TX Practitioner - Podiatry 2567710999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ankle and Foot Specialists, PAGroup PAC ID 3274578794, 2 clinicians

Practice addresses (Care Compare)

102 Medical Park LN
Suite B
Huntsville, TX 77340-4975
Phone (936) 756-0800

25329 Budde Rd
Suite 602
Spring, TX 77380-1695
Phone (936) 756-0800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue179
Removal or shaving of skin growth44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle and Foot Specialists, PA Foot & Ankle Surgery CurrentSince Jul 9, 2018 Accepting new patients

Locations

2010 S Loop 336 W
Ste 100
Conroe, TX 77304
Phone (936) 756-0800

102 Medical Park Ln
Ste B
Huntsville, TX 77340
Phone (936) 295-5936

25329 Budde Rd
Ste 602
Spring, TX 77380
Phone (936) 756-0800

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: lance.wolf@aafsp-tx.direct.office.nextgen.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1245613793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S LOOP 336 W STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043313",
            "telephone_number": "936-756-0800",
            "fax_number": "936-756-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S LOOP 336 W STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304",
            "telephone_number": "936-756-0800",
            "fax_number": "936-756-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "LANCE",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.