Active NPI
James A Wolf, MD
- Surgical Oncology Physician
- Boise, ID
National Provider Identifier
1538164272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- M8272
- Practice address
- 341 E Bannock St
Boise, ID 83712-6208 - Phone
- (208) 342-7033
- Fax
- (208) 342-7034
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | M8272 | ID | Primary |
Addresses
Primary practice location
341 E Bannock St
Boise, ID 83712-6208
Mailing address
341 E Bannock St
Boise, ID 83712-6208
Phone (208) 342-7033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8061001 | Medicaid | ID | |
| M8272 | Other | ID | STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8272 | ID | MD | Surgical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238716800000",
"number": "1538164272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126208",
"telephone_number": "208-342-7033",
"fax_number": "208-342-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126208",
"telephone_number": "208-342-7033",
"fax_number": "208-342-7034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2009-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "ID",
"license": "M8272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8061001",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "M8272",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.