Hiatt T Wolfe, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.003091RX Issued in OH

Practice address

800 Pike St Ste 2
Express Care - Marietta
Marietta, OH 45750-3507

Phone

(740) 373-3960

Fax

(740) 373-3965

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Hiatt G Taylor Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

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.

• Pars Neurosurgical Associates, Inc

  dba PARS Healthcare

  • Neurological Surgery Physician
  • Parkersburg, WV
  • NPI 1457396152
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1316074735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MATTHEW ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "45750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PIKE ST STE 2",
            "address_2": "EXPRESS CARE - MARIETTA",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503507",
            "telephone_number": "740-373-3960",
            "fax_number": "740-373-3965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Washington Blvd Ste G",
            "address_2": "Express Care - Belpre",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457144005",
            "country_code": "US",
            "telephone_number": "740-423-3240",
            "fax_number": "740-401-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "HIATT",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01281",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010956",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.003091RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084465",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "1006 Washington Blvd Ste G",
            "address_2": "Express Care - Belpre",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457144005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.provides@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "800 Pike St Ste 2",
            "address_2": "Express Care - Marietta",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HIATT",
            "last_name": "TAYLOR",
            "middle_name": "G",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Janelle Wince, MD
• Scott Wine, MD
• Luke Winters
• Sherry Lynn Wise, LICDC
• Joyce Withers
• Jasmine Marie Wolfe, CDCA
• Carson Wong, MD
• Heidi Marie Woods
• Michaela Woomer, DNP, FNP-C, RN
• Isaac Work

• Medical Physician Assistant in Marietta, OH
• Providers in Marietta, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.