Wolfe Neurology, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

01067313A Issued in IN

Legal business name

WOLFE NEUROLOGY, LLC

Practice address

412 N Monroe St
Williamsport, IN 47993-1049

Phone

(765) 762-4056

NPI assigned

Mar 18, 2015

Last updated

Nov 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Wolfe, M.D.NPI 1891029609

Title

Physician

Phone

(765) 762-4056

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen William Wolfe, M.D.

  • Neurology Physician
  • Rensselaer, IN
  • NPI 1891029609
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1750774576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N MONROE ST",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "479931049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N MONROE ST",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "479931049",
            "telephone_number": "765-762-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFE NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "765-762-4056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01067313A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Vincent Williamsport Hospital (Ascension St. Vincent Williamsport)
• Susan D Star, LPN
• The Health and Hospital Corporation of Marion County (Williamsport Nursing and Rehabilitation)
• Michael Charles Tricoci, MD
• Lisa Ann Turner, FNP

• Neurology Physician in Williamsport, IN
• Providers in Williamsport, IN by specialty
• Neurology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.