Active NPI
Michael Carl Wohlfahrt, DPM
- Podiatrist
- The Villages, FL
National Provider Identifier
1841257334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004855
- Practice address
- 8900 SE 165TH Mulberry LN
The Villages, FL 32162-5884 - Phone
- (352) 674-5000
- Fax
- (352) 674-5001
- NPI assigned
- Apr 27, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004855 | NY | Primary |
Addresses
Primary practice location
8900 SE 165TH Mulberry LN
The Villages, FL 32162-5884
Mailing address
127 Heather Oaks Cir
Lady Lake, FL 32159-4399
Phone (352) 674-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01515062 | Medicaid | NY |
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: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004855 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1841257334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 HEATHER OAKS CIR",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321594399",
"telephone_number": "352-674-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 SE 165TH MULBERRY LN",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625884",
"telephone_number": "352-674-5000",
"fax_number": "352-674-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOHLFAHRT",
"first_name": "MICHAEL",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01515062",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.