Active NPI
Samuel Lavone Wolfe Jr.
- Specialist
- Huntsville, AL
National Provider Identifier
1275613465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 090679
- Practice address
- 900 Merchants Walk SW
Suite a
Huntsville, AL 35801-5267 - Phone
- (256) 880-9788
- Fax
- (256) 880-3228
- NPI assigned
- Oct 16, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 090679 | AL | Primary |
Addresses
Primary practice location
900 Merchants Walk SW
Suite a
Huntsville, AL 35801-5267
Mailing address
900 Merchants Walk SW
Suite a
Huntsville, AL 35801-5267
Phone (256) 880-9788
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090679 | AL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275613465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MERCHANTS WALK SW",
"address_2": "SUITE A",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015267",
"telephone_number": "256-880-9788",
"fax_number": "256-880-3228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MERCHANTS WALK SW",
"address_2": "SUITE A",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015267",
"telephone_number": "256-880-9788",
"fax_number": "256-880-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "SAMUEL",
"middle_name": "LAVONE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "090679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.