Joseph Woodson Wolfe, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

13642 Issued in MS

Practice address

100 Hospital St
Suite 100a
Booneville, MS 38829-3354

Phone

(662) 720-9413

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1598762890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 GLEN OAKS LN",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL ST",
            "address_2": "SUITE 100A",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293354",
            "telephone_number": "662-720-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "JOSEPH",
        "middle_name": "WOODSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "13642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124801",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wheeler Clinic Inc.
• Deborah Jean Whitehead, FNP
• Kayla Frazier Williams, M.S.
• Tiaonia Alexis Williams
• Holly Wilson, NP-C
• Barrett Womack
• Alyson Woodruff
• Jason P Yarber, DPT
• Ellen Yow
• John Demetro Zelem, M.D.

• Specialist in Booneville, MS
• Providers in Booneville, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.