Individual provider Active NPI

Howard G Wold, M.D.

  • Hematology & Oncology Physician
  • Alexandria, LA
National Provider Identifier
1467455501
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
07925R Issued in LA
Practice address
605B Medical Center Dr
Alexandria, LA 71301-8127
Phone
(318) 442-2232
Fax
(318) 442-2192
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 07925R LA Primary

Addresses

Primary practice location

605B Medical Center Dr
Alexandria, LA 71301-8127

Mailing address

605 Medical Center Dr Ste B
Alexandria, LA 71301-8145
Phone (318) 442-2232

Other practice location 1

2108 Texas Ave Ste 3061
Alexandria, LA 71301-3903
Phone (318) 442-2232

Other identifiers 1

IdentifierTypeStateIssuer
1383929MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20100730000669 LA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7517869241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
07925RLAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2022 Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

2108 Texas Ave
Ste 3061
Alexandria, LA 71301
Phone (318) 442-2232

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1467455501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MEDICAL CENTER DR STE B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018145",
            "telephone_number": "318-442-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605B MEDICAL CENTER DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018127",
            "telephone_number": "318-442-2232",
            "fax_number": "318-442-2192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 Texas Ave Ste 3061",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013903",
            "country_code": "US",
            "telephone_number": "318-442-2232",
            "fax_number": "318-442-9940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLD",
        "first_name": "HOWARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "07925R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1383929",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.