Mendy Sue Wolgan

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2009014402 Issued in MO

Practice address

11515 Troost Ave
Kansas City, MO 64131-3769

Phone

(816) 943-0101

NPI assigned

Feb 28, 2012

Last updated

Feb 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1417221177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CORONA RD",
            "address_2": "STE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 TROOST AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313769",
            "telephone_number": "816-943-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLGAN",
        "first_name": "MENDY",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2009014402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa June Wolfe, DNP
• Charles Steven Wolff, DDS
• Nancy S. Wolff, LCSW
• Rachel Wolff, PTA
• Martin Wolfley II, RPH
• Caley Lynn Wolkey, PT, DPT
• Wolkoff Dentistry LLC (Plaza Family Dentistry)
• Eli Wolkoff, DDS
• Chad Christian Wollard, D.M.D.
• Ronald Reed Wollard, D.D.S.

• Occupational Therapy Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.