Individual provider Active NPI

Paul D Wolfe, MD

  • Pediatrics Physician
  • Marion, IN
National Provider Identifier
1669410411
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01043039A Issued in IN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200060550MedicaidIN

Electronic endpoints 5

TypeEndpointUseAffiliation
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, NC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040521000646 IN Practitioner - Pediatric Medicine 4082605662 Reassigns benefits to 2 organizations
I20181212002856 MT Practitioner - Pediatric Medicine 4082605662 Reassigns benefits to 1 organization
I20191009001208 SC Practitioner - Pediatric Medicine 4082605662 Reassigns benefits to 3 organizations
I20220621000422 NC Practitioner - Hospitalist 4082605662 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01043039AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC CurrentSince Jan 1, 2021 Accepting new patients
Alliance Health Centers Inc. CurrentSince Nov 30, 2025 Accepting new patients
Blanchard Valley Regional Health Center Pediatrics Current Accepting new patients
Alliance Health Centers, Inc. CurrentSince Nov 30, 2025 Accepting new patients
Billings Clinic Current Accepting new patients
Emergency Coverage, LLC CurrentSince Sep 1, 2023 Accepting new patients
Marion Pediatrics LLC CurrentSince Jun 17, 2005 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Jul 16, 2023 Accepting new patients
Blanchard Valley Regional Health Center Pediatrics CurrentSince Jul 16, 2023 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 5, 2023 Accepting new patients
Georgetown Memorial Hospital CurrentSince Jul 18, 2020 Accepting new patients
Parkview Health System Inc Pediatrics CurrentSince Oct 5, 2025 Accepting new patients
Waccamaw Community Hospital CurrentSince Jul 18, 2020 Accepting new patients
Georgetown Memorial Hospital CurrentSince Jul 18, 2020 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

  • Direct secure messaging: paul.wolfe@tidelandshealth.org
  • Direct secure messaging: pwolfe104684@capefearvalley.direct-ci.com
  • Direct secure messaging: pwolfe342728@reidhealth.direct-ci.com
  • Direct secure messaging: 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.

View all 15

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

Verify at the official NPI Registry.