Active NPI
George J Wolcott, M.D.
- Neurology Physician
- Lincoln, NE
National Provider Identifier
1396755989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 12605
- Practice address
- 1021 N 27TH St
Lincoln, NE 68503-1803 - Phone
- (402) 476-1455
- Fax
- (402) 476-1655
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 21-2196174 | NE | |
| Neurology Physician | 2084N0400X | 12605 | NE | Primary |
Addresses
Primary practice location
1021 N 27TH St
Lincoln, NE 68503-1803
Mailing address
PO Box 6937
Lincoln, NE 68506-0937
Phone (402) 476-2021
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1542 | Other | NE | BCBS |
| 47-055858300 | Medicaid | NE | |
| 0500051 | Other | NE | UHC |
| 131121787 | Other | NE | RR MEDICARE |
| 4257 | Other | NE | MIDLANDS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12605 | NE | MD | Counselor |
| 21-2196174 | NE | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madonna Rehabilitation Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Lincoln, NE
- NPI 1417045642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1396755989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6937",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685060937",
"telephone_number": "402-476-2021",
"fax_number": "402-476-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 N 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685031803",
"telephone_number": "402-476-1455",
"fax_number": "402-476-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLCOTT",
"first_name": "GEORGE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NE",
"license": "21-2196174",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NE",
"license": "12605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1542",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-055858300",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0500051",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "131121787",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS",
"identifier": "4257",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.