Individual provider Active NPI

Allan E Wulc, MD

  • Plastic Surgery Physician
  • Plymouth Meeting, PA
National Provider Identifier
1518954700
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD027087E Issued in PA
Practice address
610 W Germantown Pike
Ste 161
Plymouth Meeting, PA 19462-1062
Phone
(610) 828-8880
Fax
(610) 828-8883
NPI assigned
Oct 3, 2005
Last updated
Nov 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD027087E PA Primary
Plastic Surgery Physician 208200000X ME57905 FL
Plastic Surgery Physician 208200000X 25MA05245800 NJ
Plastic Surgery Physician 208200000X 14403 AZ
Plastic Surgery Physician 208200000X G87419 CA

Addresses

Primary practice location

610 W Germantown Pike
Ste 161
Plymouth Meeting, PA 19462-1062

Mailing address

610 W Germantown Pike
Ste 161
Plymouth Meeting, PA 19462-1062
Phone (610) 828-8880

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101120000083 PA Practitioner - Ophthalmology 9436129087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14403AZMDPlastic Surgery Physician
G87419CAMDPlastic Surgery Physician
ME57905FLMDPlastic Surgery Physician
25MA05245800NJMDPlastic Surgery Physician
MD027087EPAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Plastic Surgery PC Current Accepting new patients

Locations

610 W Germantown Pike
Ste 161
Plymouth Mtng, PA 19462
Phone (610) 828-8880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1518954700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W GERMANTOWN PIKE",
            "address_2": "STE 161",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621062",
            "telephone_number": "610-828-8880",
            "fax_number": "610-828-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W GERMANTOWN PIKE",
            "address_2": "STE 161",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621062",
            "telephone_number": "610-828-8880",
            "fax_number": "610-828-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULC",
        "first_name": "ALLAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD027087E",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME57905",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA05245800",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "14403",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G87419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.