Individual provider Active NPI

Lawrence Louis Wolfgang, PA-C

  • Medical Physician Assistant
  • Altoona, PA
National Provider Identifier
1730735259
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA062592 Issued in PA
Practice address
501 Howard Ave
Altoona, PA 16601-4810
Phone
(393) 081-4889
NPI assigned
Aug 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA062592 PA
Medical Physician Assistant 363AM0700X 0110011501 VA
Medical Physician Assistant 363AM0700X MA062592 PA Primary

Addresses

Primary practice location

501 Howard Ave
Altoona, PA 16601-4810

Mailing address

PO Box 3250
Winchester, VA 22604-2450
Phone (540) 678-3588

Other practice location 1

104 Selma Dr
Winchester, VA 22601-3834
Phone (540) 678-2800

Other identifiers 1

IdentifierTypeStateIssuer
0110011501OtherVALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210713000561 PA Practitioner - Physician Assistant 9638571748 Reassigns benefits to 3 organizations
I20260120000838 VA Practitioner - Physician Assistant 9638571748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Selma Medical Assoc IncGroup PAC ID 5092618611, 30 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

104 Selma Dr
Winchester, VA 22601-3834
Phone (540) 678-2800

106 S Claude a Lord Blvd
Pottstown, PA 17901-3602
Phone (570) 728-2424

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

Merit-based Incentive Payment System (MIPS)

Final score
83.64 of 100Reported as group
Quality
76.75
Promoting interoperability
87
Improvement activities
40
Cost
74.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA062592PAMDMedical Physician Assistant
0110011501VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Selma Medical Assoc Inc CurrentSince Feb 2, 2026 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

5683 Route 115
Blakeslee, PA 18610
Phone (570) 355-7100

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

179 Independence Rd
East Stroudsburg, PA 18301
Phone (570) 421-8526

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

237 S Mountain Blvd
Ste 7
Mountain Top, PA 18707
Phone (570) 261-5000

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

106 S Claude a Lord Blvd
Pottsville, PA 17901
Phone (570) 622-4209

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

104 Selma Dr
Winchester, VA 22601
Phone (540) 542-6106

Interoperability endpoints

  • Direct secure messaging: lwolfgang680641@direct2.lvhn.org

Organizations & group practices 8

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 9

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": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1730735259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3250",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226042450",
            "telephone_number": "540-678-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014810",
            "telephone_number": "393-081-4889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Selma Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226013834",
            "country_code": "US",
            "telephone_number": "540-678-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFGANG",
        "first_name": "LAWRENCE",
        "middle_name": "LOUIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062592",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110011501",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA062592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0110011501",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.