Active NPI
William E. Wolf III, M.D.
- Anesthesiology Physician
- La Porte, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01038860A
- Practice address
- 1007 Lincolnway
La Porte, IN 46350-3201 - Phone
- (219) 324-2229
- Fax
- (219) 324-2229
- NPI assigned
- Oct 16, 2006
- Last updated
- Jun 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01038860A | IN | Primary |
Addresses
Primary practice location
1007 Lincolnway
La Porte, IN 46350-3201
Mailing address
800 Lincolnway
Suite 301
La Porte, IN 46350-3439
Phone (219) 324-2229
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100164970 | Medicaid | IN | |
| 050017896 | Other | IN | RAILROAD |
| 000000184434 | Other | IN | ANTHEM |
| 100164970B | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Anesthesiology
- Education
- Loma Linda University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 E Culver Rd
Knox, IN 46534-2216
Phone (574) 772-6231
1331 State St
La Porte, IN 46350-3112
Phone (219) 326-1234
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Laporte PC | Anesthesiology | Current | Accepting new patients |
| La Porte County Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
Locations
102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580
1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474
1331 State St
Laporte, IN 46350
Phone (219) 326-2415
301 W Homer St
Michigan City, IN 46360
Phone (219) 877-1033
301 W Homer St
#M
Michigan City, IN 46360
Phone (219) 877-1033
3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524
8865 W 400 N
Ste 100
Michigan City, IN 46360
Phone (219) 877-2222
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- La Porte, IN
- NPI 1235455429
-
- Anesthesiology Physician
- Michigan City, IN
- NPI 1477553634
-
- Specialist
- La Porte, IN
- NPI 1588993406
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Health- Starke
- Rural Acute Care Hospital
- Knox, IN
- NPI 1679948319
-
dba Northwest Health-La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1730269796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 LINCOLNWAY",
"address_2": "SUITE 301",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503439",
"telephone_number": "219-324-2229",
"fax_number": "219-324-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 LINCOLNWAY",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503201",
"telephone_number": "219-324-2229",
"fax_number": "219-324-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "WILLIAM",
"middle_name": "E.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01038860A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100164970",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "050017896",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000184434",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100164970B",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.