Organization Active NPI

Wolfe Clinic Inc

  • Ophthalmology Physician
  • Marshalltown, IA
National Provider Identifier
1477532174
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WOLFE CLINIC INC
Practice address
309 E Church St
Marshalltown, IA 50158-2946
Phone
(641) 754-6200
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
David Moench
Title
Chief Financial Officer
Phone
(515) 240-8721

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X

Addresses

Primary practice location

309 E Church St
Marshalltown, IA 50158-2946

Mailing address

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

Other identifiers 2

IdentifierTypeStateIssuer
0061705MedicaidIA
CO1453OtherIARAILROAD MEDICARE GROUP

Other names 1

  • WOLFE CLINIC PC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000276 IA Part B Supplier - Clinic/Group Practice 8628979291 Receives reassigned benefits from 38 practitioners
Practice locations: New Hampton, IA; Lake City, IA; Osceola, IA; Oskaloosa, IA; Ottumwa, IA; Pella, IA; Pleasant Hill, IA; Spencer, IA…

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 31)

101 Benton Ave E
Albia, IA 52531
Phone (641) 932-7154

2020 Philadelphia St
Ames, IA 50010
Phone (515) 232-2450

603 E Main St
Anamosa, IA 52205
Phone (319) 462-4891

405 S Clark St
Ste 220
Carroll, IA 51401
Phone (712) 792-8255

516 Division St
Cedar Falls, IA 50613
Phone (319) 268-3550

516 Division St
Ste 120B
Cedar Falls, IA 50613
Phone (319) 277-0103

804 Broadway St
Emmetsburg, IA 50536
Phone (712) 852-4123

2217 Main St
Emmetsburg, IA 50536
Phone (712) 852-2979

804 Kenyon Rd
Ste 100
Fort Dodge, IA 50501
Phone (515) 576-7777

1195 Boyson Rd
Ste 200
Hiawatha, IA 52233
Phone (319) 362-8032

2225 Mormon Trek Blvd
Ste 100
Iowa City, IA 52246
Phone (319) 337-5770

920 S Oak St
Iowa Falls, IA 50126
Phone (641) 648-4631

117 E Lincoln Way
Ste 100
Jefferson, IA 50129
Phone (515) 386-8196

207 N Chestnut St
Jefferson, IA 50129
Phone (515) 386-3513

224 E Main St
Marengo, IA 52301
Phone (319) 642-3311

309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200

309 E Church St
#1453
Marshalltown, IA 50158
Phone (515) 754-6200

1731 S G Ave
Nevada, IA 50201
Phone (515) 382-2744

100 N 4th Ave W
Newton, IA 50208
Phone (515) 792-7900

111 1st Ave W
Newton, IA 50208
Phone (800) 247-7803

1005 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 682-2514

5900 E University Ave
Ste 202
Pleasant Hill, IA 50327
Phone (515) 262-3988

2004 Highway Blvd
Ste A
Spencer, IA 51301
Phone (712) 262-2379

1200 1st Ave E
Ste A
Spencer, IA 51301
Phone (712) 262-1808

2004 Highway Blvd
Spencer, IA 51301
Phone (712) 262-6906

Interoperability endpoints

  • Direct secure messaging: ehu@wolfe.intellechartdirect.net
  • Direct secure messaging: sstuder@wolfe.intellechartdirect.net
  • Direct secure messaging: tmeirick@wolfe.intellechartdirect.net
  • Direct secure messaging: dhusidic@wolfe.intellechartdirect.net
  • Direct secure messaging: sfox@wolfe.intellechartdirect.net
  • Direct secure messaging: swhittier@wolfe.intellechartdirect.net
  • Direct secure messaging: pboeke@wolfe.intellechartdirect.net
  • Direct secure messaging: mholmes@wolfe.intellechartdirect.net
  • Direct secure messaging: dgimbel@wolfe.intellechartdirect.net
  • Direct secure messaging: rturner@wolfe.intellechartdirect.net
  • Direct secure messaging: akartvelishvili@wolfe.intellechartdirect.net
  • Direct secure messaging: cbower@wolfe.intellechartdirect.net
  • Direct secure messaging: amelik-israyelyan@wolfe.intellechartdirect.net
  • Direct secure messaging: srohler@wolfe.intellechartdirect.net
  • Direct secure messaging: gclavenna@wolfe.intellechartdirect.net
  • Direct secure messaging: sharvey@wolfe.intellechartdirect.net
  • Direct secure messaging: sanderson@wolfe.intellechartdirect.net
  • Direct secure messaging: dbitner@wolfe.intellechartdirect.net
  • Direct secure messaging: mmeyer@wolfe.intellechartdirect.net
  • Direct secure messaging: pfitch@wolfe.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 80

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1477532174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6200",
            "fax_number": "641-754-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "MOENCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "515-240-8721"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061705",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CO1453",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOLFE CLINIC PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.