NPIMap

Individual provider Active NPI

Wolfgang Hans Baerwald, MD

  • Radiation Oncology Physician
  • New Philadelphia, PA
National Provider Identifier
1902808009
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD038695E Issued in PA
Practice address
15 Alliance St
New Philadelphia, PA 17959-1101
Phone
(570) 277-6218
Fax
(570) 277-6398
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD038695E PA
Radiation Oncology Physician 2085R0001X MD038695E PA Primary

Addresses

Primary practice location

15 Alliance St
New Philadelphia, PA 17959-1101

Mailing address

15 Alliance St
New Philadelphia, PA 17959-1101
Phone (570) 277-6218

Other identifiers 1

IdentifierTypeStateIssuer
01179619MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD038695EPAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Central Pennsylvania, Inc Past Accepting new patients
Wyoming Valley Radiation Medicine Specialists P C Specialist Past Accepting new patients
Wyoming Valley Radiation Medicine Associates P C Specialist Past Accepting new patients
Charles Cole Memorial Hospital D/B/a Upmc Cole Past Accepting new patients

Organizations & group practices 4

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1902808009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ALLIANCE ST",
            "city": "NEW PHILADELPHIA",
            "state": "PA",
            "postal_code": "179591101",
            "telephone_number": "570-277-6218",
            "fax_number": "570-277-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ALLIANCE ST",
            "city": "NEW PHILADELPHIA",
            "state": "PA",
            "postal_code": "179591101",
            "telephone_number": "570-277-6218",
            "fax_number": "570-277-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAERWALD",
        "first_name": "WOLFGANG",
        "middle_name": "HANS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD038695E",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD038695E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01179619",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.