Individual provider Active NPI

George M Wohlreich, MD

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1538354675
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-024410-E Issued in PA
Practice address
1010 Race St Apt 3J
Philadelphia, PA 19107-2336
Phone
(215) 205-2087
NPI assigned
Sep 12, 2007
Last updated
Sep 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD-024410-E PA Primary
Addiction Psychiatry Physician 2084P0802X MD-024410-E PA
Geriatric Psychiatry Physician 2084P0805X MD-024410-E PA

Addresses

Primary practice location

1010 Race St Apt 3J
Philadelphia, PA 19107-2336

Mailing address

1010 Race St Apt 3J
Philadelphia, PA 19107-2336
Phone (215) 205-2087

Other identifiers 1

IdentifierTypeStateIssuer
01500601MedicaidPA

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-024410-EPAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1538354675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 RACE ST APT 3J",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072336",
            "telephone_number": "215-205-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 RACE ST APT 3J",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072336",
            "telephone_number": "215-205-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLREICH",
        "first_name": "GEORGE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD-024410-E",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "PA",
            "license": "MD-024410-E",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD-024410-E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01500601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.