Active NPI
Woodholme Gastroenterology Assoc/Anesthesia
- Anesthesiology Physician
- Baltimore, MD
National Provider Identifier
1346494531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- WOODHOLME GASTROENTEROLOGY ASSOC/ANESTHESIA
- Practice address
- 1838 Greene Tree Rd
Suite 400
Baltimore, MD 21208-6391 - Phone
- (410) 602-7782
- Fax
- (410) 602-2438
- NPI assigned
- Nov 14, 2008
- Last updated
- Nov 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward J Wolf, M.D.
- Title
- President
- Phone
- (410) 602-7782
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
1838 Greene Tree Rd
Suite 400
Baltimore, MD 21208-6391
Mailing address
1838 Greene Tree Rd
Suite 400
Baltimore, MD 21208-6391
Phone (410) 602-7782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 603741100 | Medicaid | MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Baltimore, MD
- NPI 1316931728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226620800000",
"number": "1346494531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1838 GREENE TREE RD",
"address_2": "SUITE 400",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212086391",
"telephone_number": "410-602-7782",
"fax_number": "410-602-2438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1838 GREENE TREE RD",
"address_2": "SUITE 400",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212086391",
"telephone_number": "410-602-7782",
"fax_number": "410-602-2438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODHOLME GASTROENTEROLOGY ASSOC/ANESTHESIA",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-14",
"last_updated": "2008-11-14",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-602-7782",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "603741100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.