Individual provider Active NPI

Stephen George Wolfe, MD

  • Otolaryngology Physician
  • Bloomfield, CT
National Provider Identifier
1730245606
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
045248 Issued in CT
Practice address
4 Northwestern Dr
Suite 300
Bloomfield, CT 06002-3444
Phone
(860) 243-8997
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 045248 CT Primary

Addresses

Primary practice location

4 Northwestern Dr
Suite 300
Bloomfield, CT 06002-3444

Mailing address

4 Northwestern Dr
Suite 300
Bloomfield, CT 06002-3444
Phone (860) 243-8997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070823000722 CT Practitioner - Otolaryngology 0042302879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Perelman School of Med at the University of Pennsylvania, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Institute of Connecticut PLLCGroup PAC ID 4284078296, 25 clinicians

Practice addresses (Care Compare)

599 Farmington Ave
Suite 102
Farmington, CT 06032-2383
Phone (860) 284-4950

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045248CTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Institute of Connecticut PLLC Otolaryngology CurrentSince Dec 21, 2023 Accepting new patients
Prohealth Physicians PC Otolaryngology CurrentSince May 1, 2017 Accepting new patients

Locations

4 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 243-2969

580 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 243-8709

4 Northwestern Dr
Ste 100
Bloomfield, CT 06002
Phone (860) 243-3344

4 Northwestern Dr
Ste 300
Bloomfield, CT 06002
Phone (860) 243-8997

599 Farmington Ave
Ste 102
Farmington, CT 06032
Phone (860) 284-4950

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

515 Middle Tpke W
Manchester, CT 06040
Phone (860) 533-4176

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: stephen.wolfe.npi1730245606.phpct@direct.optumcare.masshiway.net

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730245606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NORTHWESTERN DR",
            "address_2": "SUITE 300",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023444",
            "telephone_number": "860-243-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORTHWESTERN DR",
            "address_2": "SUITE 300",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023444",
            "telephone_number": "860-243-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "STEPHEN",
        "middle_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "045248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.