Individual provider Active NPI

William B Wolf III, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Middleburg, VA
National Provider Identifier
1316262124
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
0101041005 Issued in VA
Practice address
21257 Foxcroft Rd
Middleburg, VA 20117-3425
Phone
(301) 529-9653
Fax
(571) 206-8954
NPI assigned
Apr 5, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190212001858 VA Practitioner - Addiction Medicine
Practitioner - General Practice
Practitioner - Orthopedic Surgery
7012968522 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D30363MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Starting Point of Virginia, P.C. Current
since Jun 23, 2020
Accepting new patients
Winchester Recoverypllc Current Accepting new patients
Starting Point of Virginia, P.C. Current
since Jun 23, 2020
Accepting new patients
Savida Health, PC Past
since Sep 20, 2020
Accepting new patients

Locations

55 Beattie Pl
Ste 810
Greenville, SC 29601
Phone (864) 527-3145

4024 Plank Rd
Fredericksburg, VA 22407

9274 Corporate Cir
Manassas, VA 20110
Phone (703) 496-7804

500 Pegasus Ct
Ste 508
Winchester, VA 22602
Phone (540) 974-5445

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D30363 MD
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 0101041005 VA
Addiction Medicine (Family Medicine) Physician 207QA0401X 0101041005 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

21257 Foxcroft Rd
Middleburg, VA 20117-3425

Mailing address

117 W Boscawen St
Winchester, VA 22601-4158
Phone (540) 450-0334

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2020.

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1316262124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W BOSCAWEN ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014158",
            "telephone_number": "540-450-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21257 FOXCROFT RD",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "201173425",
            "telephone_number": "301-529-9653",
            "fax_number": "571-206-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D30363",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "VA",
            "license": "0101041005",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101041005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, VA

Sources for this page

Verify at the official NPI Registry.