Active NPI
Paul D Wolfe, MD
- Pediatrics Physician
- Marion, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01043039A
- Practice address
- 2620 S Western Ave
Marion, IN 46953-3556 - Phone
- (765) 573-2530
- Fax
- (765) 573-2535
- NPI assigned
- Jun 3, 2006
- Last updated
- Apr 8, 2026
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01043039A | IN | Primary |
Addresses
Primary practice location
2620 S Western Ave
Marion, IN 46953-3556
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000
Other practice location 2
4070 Highway 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200060550 | Medicaid | IN |
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | paul.wolfe@tidelandshealth.org | Direct | Georgetown Memorial Hospital |
| Direct Messaging Address | paul.wolfe@tidelandshealth.org | Direct | Waccamaw Community Hospital |
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | pwolfe9647@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MT, SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01043039A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Hospitalist Services PC | Current | Accepting new patients | |
| Alliance Health Centers Inc. | Current | Accepting new patients | |
| Blanchard Valley Regional Health Center | Pediatrics | Current | Accepting new patients |
| Alliance Health Centers, Inc. | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Emergency Coverage, LLC | Current | Accepting new patients | |
| Marion Pediatrics LLC | Current | Accepting new patients | |
| Blanchard Valley Regional Health Center | Current | Accepting new patients | |
| Blanchard Valley Regional Health Center | Pediatrics | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Georgetown Memorial Hospital | Current | Accepting new patients | |
| Parkview Health System Inc | Pediatrics | Current | Accepting new patients |
| Waccamaw Community Hospital | Current | Accepting new patients | |
| Georgetown Memorial Hospital | Current | Accepting new patients | |
| Health Hero of Indiana Inc | Past | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
2700 Lafayette St
Ste 110
Fort Wayne, IN 46806
Phone (260) 660-0780
1411 W Bella Dr
Marion, IN 46953
Phone (765) 651-6637
2620 S Western Ave
Marion, IN 46953
Phone (765) 573-2530
706 N River Dr
Marion, IN 46952
Phone (765) 651-6637
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
801 N 29th St
Billings, MT 59101
Phone (406) 238-2210
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100
1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500
606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000
4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000
Interoperability endpoints
- paul.wolfe@tidelandshealth.org
- pwolfe104684@capefearvalley.direct-ci.com
- pwolfe342728@reidhealth.direct-ci.com
- pwolfe9647@direct.parkviewexchange.com
Organizations & group practices 15
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.
-
- Federally Qualified Health Center (FQHC)
- Fort Wayne, IN
- NPI 1316556848
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
Pediatrics
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
NC
-
dba Tidelands Georgetown Memorial Hospital
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
-
dba Tidelands Waccamaw Community Hospital
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
-
- Federally Qualified Health Center (FQHC)
- Marion, IN
- NPI 1013880913
-
- Specialist
- Marion, IN
- NPI 1497836340
-
dba Wound Care Solutions
- Family Medicine Physician
- Findlay, OH
- NPI 1083665251
Pediatrics
-
dba Blanchard Valley Hospital
- Rehabilitation Hospital Unit
- Findlay, OH
- NPI 1578336400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1669410411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 S WESTERN AVE",
"city": "MARION",
"state": "IN",
"postal_code": "469533556",
"telephone_number": "765-573-2530",
"fax_number": "765-573-2535"
}
],
"practiceLocations": [
{
"address_1": "606 Black River Rd",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "SC",
"postal_code": "294403304",
"country_code": "US",
"telephone_number": "843-527-7000",
"fax_number": "843-520-8403",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4070 Highway 17",
"address_purpose": "LOCATION",
"city": "Murrells Inlet",
"state": "SC",
"postal_code": "295765033",
"country_code": "US",
"telephone_number": "843-652-1000",
"fax_number": "843-520-8403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFE",
"first_name": "PAUL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01043039A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200060550",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "paul.wolfe@tidelandshealth.org",
"affiliation": "Y",
"affiliationName": "Georgetown Memorial Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "606 Black River Rd",
"city": "Georgetown",
"state": "SC",
"country_code": "US",
"postal_code": "294403304",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "paul.wolfe@tidelandshealth.org",
"affiliation": "Y",
"affiliationName": "Waccamaw Community Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4070 Highway 17",
"city": "Murrells Inlet",
"state": "SC",
"country_code": "US",
"postal_code": "295765033",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "2620 S Western Ave",
"city": "Marion",
"state": "IN",
"country_code": "US",
"postal_code": "469533556",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pwolfe9647@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "2620 S Western Ave",
"city": "Marion",
"state": "IN",
"country_code": "US",
"postal_code": "469533556",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2620 S Western Ave",
"city": "Marion",
"state": "IN",
"country_code": "US",
"postal_code": "469533556",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.