Active NPI
Taylor Charlotte Wolfgang, MD
- Internal Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 275600
- Practice address
- 755 Washington St
Boston, MA 02111-1520 - Phone
- (617) 636-8100
- NPI assigned
- May 26, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 275600 | MA | Primary |
Addresses
Primary practice location
755 Washington St
Boston, MA 02111-1520
Mailing address
1600 Beacon St Apt 703
Brookline, MA 02446-2228
Phone (802) 793-2865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Vermont College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5050 NE Hoyt St
Suite 155
Portland, OR 97213-2956
Phone (503) 215-6819
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients |
Locations
200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550
9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960
1510 Division St
Ste 170
Oregon City, OR 97045
Phone (503) 215-6819
1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
5050 NE Hoyt St
Ste 155
Portland, OR 97213
Phone (503) 215-6819
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
Interoperability endpoints
- twolfgang3015937@oc.providencedirect.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
Internal Medicine
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
Internal Medicine
-
- Clinical Pathology Physician
- Oregon City, OR
- NPI 1003368911
Internal Medicine
-
- Integrative Medicine Physician
- Portland, OR
- NPI 1588066906
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527292800000",
"number": "1639660558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 BEACON ST APT 703",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024462228",
"telephone_number": "802-793-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111520",
"telephone_number": "617-636-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFGANG",
"first_name": "TAYLOR",
"middle_name": "CHARLOTTE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-26",
"last_updated": "2018-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "275600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.