Andrew Bennett Woldow, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD026439E Issued in PA

Practice address

8200 Henry Ave
Ste G-1
Philadelphia, PA 19128-2984

Phone

(215) 482-2336

Fax

(215) 483-4389

NPI assigned

Aug 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Cardiovascular Disease (Cardiology), Geriatric Medicine

Education

Temple University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roxborough Memorial Hospital Hospital, Philadelphia, PA, CCN 390304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Certified Cardiology of Roxborough PC

  • Cardiovascular Disease Physician
  • Elkins Park, PA
  • NPI 1366007478
  Medicare reassignment NPD Authorized official
• Pennsylvania Heart and Vascular Group, P.C.

  • Cardiovascular Disease Physician
  • Jenkintown, PA
  • NPI 1578515748
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services Roxborough LLC

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1083986129
  Care Compare affiliation

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1467453142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 HENRY AVE",
            "address_2": "STE G-1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282984",
            "telephone_number": "215-482-2336",
            "fax_number": "215-483-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 HENRY AVE",
            "address_2": "STE G-1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282984",
            "telephone_number": "215-482-2336",
            "fax_number": "215-483-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDOW",
        "first_name": "ANDREW",
        "middle_name": "BENNETT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD026439E",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD026439E",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD026439E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012801",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "124134",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Antionette Wolanin, PA-C
• Jacqueline Mia Wolbransky, CRNP
• Lauren Wolcott
• Ruth Woldemichael, MD
• Menesha Teka Woldezabher
• Jacqueline Frances Wolf-Sonkin
• Abigail Wolf, M.D.
• Bryan A Wolf, M.D., PH.D.
• Daniel Herman Wolf, M.D., PH.D.
• Dawn A. Wolf, LPC

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.