Active NPI
Rebecca Sue Wolfer, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Huntington, WV
National Provider Identifier
1366401689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 20655
- Practice address
- 1600 Medical Center Dr
Suite 2500
Huntington, WV 25701-3656 - Phone
- (304) 691-1200
- Fax
- (304) 691-1287
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20655 | WV | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 20655 | WV | Primary |
Addresses
Primary practice location
1600 Medical Center Dr
Suite 2500
Huntington, WV 25701-3656
Mailing address
1600 Medical Center Dr
Suite 2500
Huntington, WV 25701-3656
Phone (304) 691-1200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2265936 | Medicaid | OH | |
| 64037948 | Medicaid | KY | |
| 1806387000 | Medicaid | WV |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1366401689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 MEDICAL CENTER DR",
"address_2": "SUITE 2500",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013656",
"telephone_number": "304-691-1200",
"fax_number": "304-691-1287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MEDICAL CENTER DR",
"address_2": "SUITE 2500",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013656",
"telephone_number": "304-691-1200",
"fax_number": "304-691-1287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFER",
"first_name": "REBECCA",
"middle_name": "SUE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "20655",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WV",
"license": "20655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2265936",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64037948",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1806387000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.