Stephen M Wolk MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD038358L Issued in PA

Legal business name

STEPHEN M WOLK MD PC

Practice address

943 N Church St
Hazleton, PA 18201-1839

Phone

(570) 455-4428

Fax

(570) 455-6277

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Stephen M Wolk, MD

Title

MD

Phone

(570) 455-4428

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1710909825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 N CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182011839",
            "telephone_number": "570-455-4428",
            "fax_number": "570-455-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 N CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182011839",
            "telephone_number": "570-455-4428",
            "fax_number": "570-455-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M WOLK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "WOLK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "570-455-4428",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD038358L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009196560001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony John Stachurski Jr., COTA/L
• Brenda A Stachurski, DPT
• Catie Stamets
• Lisa Steffes, DPT MTC NCTMB
• Thomas Jerard Stepanski
• Stephen N. Shoemaker, D.O., P.C.
• Steven E. Nicholson, D.M.D., P.C.
• Edward Thomas Stish Jr.
• Heather Ann Sugarman, CRNP
• Surgical Specialists of Hazleton, P. C.

• Cardiovascular Disease Physician in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.