Elijah John Wolfe, RT

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Practice address

100 Lake Traverse Dr
Sisseton, SD 57262-7046

Phone

(605) 268-4547

NPI assigned

Dec 29, 2009

Last updated

Dec 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1730419557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W PINE ST",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572621832",
            "telephone_number": "605-268-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKE TRAVERSE DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572627046",
            "telephone_number": "605-268-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "ELIJAH",
        "middle_name": "JOHN",
        "credential": "RT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherryl J. Tomboulian, M.D., P.H.D
• US Dept of Health & Human Services
• Jodie Webb, FNP-BC
• Leah Adele Weiss, PHARMD
• Dana Marie Wilson, RN
• Mary Francis Wommer, R.T. (R)
• Woodrow Wilson Keeble Memorial Health Care Center
• Shobi Zetina
• John Thomas Zimmer, DDS

• Radiologic Technologist in Sisseton, SD
• Providers in Sisseton, SD by specialty
• Radiologic Technologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.