Active NPI
Matthew Robert Wolfgang, M.D.
- Pediatrics Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.131010
- Practice address
- 8240 Northcreek Dr
Cincinnati, OH 45236-2377 - Phone
- (513) 246-7000
- NPI assigned
- Apr 15, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Pediatrics Physician | 208000000X | 35.131010 | OH | Primary |
Addresses
Primary practice location
8240 Northcreek Dr
Cincinnati, OH 45236-2377
Mailing address
4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 246-1964
Other practice location 1
3333 Burnet Ave
ML 2008
Cincinnati, OH 45229-3026
Phone (513) 636-7966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G LLC | Pediatrics | Current | Accepting new patients |
| Children'S Hospital Medical Center | Pediatrics | Current | Accepting new patients |
| Trihealth G, LLC | Current | Accepting new patients | |
| Trihealth G LLC | Pediatrics | Past | Accepting new patients |
| Nationwide Children'S Hospital | Past | Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
8240 Northcreek Dr
Ste 1400
Cincinnati, OH 45236
Phone (513) 792-4700
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
3333 Burnet Ave
#2008
Cincinnati, OH 45229
Phone (513) 636-7966
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
8240 Northcreek Dr
Cincinnati, OH 45236
Phone (513) 246-5303
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
Interoperability endpoints
- mwolfgang245236@direct.trihealth.com
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1902225196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123397",
"telephone_number": "513-246-1964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8240 NORTHCREEK DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362377",
"telephone_number": "513-246-7000"
}
],
"practiceLocations": [
{
"address_1": "3333 Burnet Ave",
"address_2": "ML 2008",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452293026",
"country_code": "US",
"telephone_number": "513-636-7966",
"fax_number": "513-636-7967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFGANG",
"first_name": "MATTHEW",
"middle_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.131010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.