Individual provider Active NPI

Jeffery Robert Wohlfeil, PA-C

  • Physician Assistant
  • Gaylord, MI
National Provider Identifier
1770973166
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007284 Issued in MI
Practice address
271 McCoy Rd W
Gaylord, MI 49735-8253
Phone
(989) 732-3529
Fax
(989) 732-7865
NPI assigned
Jan 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007284 MI Primary

Addresses

Primary practice location

271 McCoy Rd W
Gaylord, MI 49735-8253

Mailing address

617 N Court Ave
Gaylord, MI 49735-1515
Phone (231) 935-5800

Other practice location 1

652 N Otsego Ave
Gaylord, MI 49735-2502
Phone (989) 732-3529

Other practice location 2

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-3641

Other practice location 3

3696 S Straits Hwy
Indian River, MI 49749-5136
Phone (800) 637-4033

Other practice location 4

809 E Michigan Ave
Grayling, MI 49738-1417
Phone (989) 348-0530

Other practice location 5

1200 Sixth St Ste 200
Traverse City, MI 49684-2369
Phone (231) 935-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Group Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1770973166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N COURT AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351515",
            "telephone_number": "231-935-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MCCOY RD W",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358253",
            "telephone_number": "989-732-3529",
            "fax_number": "989-732-7865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "652 N Otsego Ave",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497352502",
            "country_code": "US",
            "telephone_number": "989-732-3529",
            "fax_number": "989-732-7865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-3641",
            "fax_number": "231-258-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3696 S Straits Hwy",
            "address_purpose": "LOCATION",
            "city": "Indian River",
            "state": "MI",
            "postal_code": "497495136",
            "country_code": "US",
            "telephone_number": "800-637-4033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497381417",
            "country_code": "US",
            "telephone_number": "989-348-0530",
            "fax_number": "989-348-0530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Sixth St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842369",
            "country_code": "US",
            "telephone_number": "231-935-5800",
            "fax_number": "231-935-5799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOHLFEIL",
        "first_name": "JEFFERY",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-23",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.