Organization Active NPI

Dr Richard Wolf Compassionate Cardiology LLC

  • Cardiovascular Disease Physician
  • Bullhead City, AZ
National Provider Identifier
1881446227
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
DR RICHARD WOLF COMPASSIONATE CARDIOLOGY LLC
Practice address
3003 Hway 95 BLDG 94
Bullhead City, AZ 86442-7860
Phone
(417) 291-0380
NPI assigned
Apr 1, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Richard Wolf, MDNPI 1962440552
Title
Owner
Phone
(417) 291-0380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3003 Hway 95 BLDG 94
Bullhead City, AZ 86442-7860

Mailing address

3003 Hway 95 Ste 102
Bullhead City, AZ 86442-7802
Phone (417) 291-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240731001517 AZ Part B Supplier - Clinic/Group Practice 5890232540 Receives reassigned benefits from 1 practitioner
Practice locations: Bullhead City, AZ

National Provider Directory

National Provider Directory

Locations

3003 Highway 95
Bldg 94
Bullhead City, AZ 86442
Phone (417) 291-0380

3003 Highway 95
Ste 102
Bullhead City, AZ 86442
Phone (417) 291-0380

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1881446227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 HWAY 95 STE 102",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427802",
            "telephone_number": "417-291-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HWAY 95 BLDG 94",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427860",
            "telephone_number": "417-291-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD WOLF COMPASSIONATE CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-291-0380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.