Phillip Eugene Wollam

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

7611238 Issued in OH

Practice address

1401 27TH St NE
Canton, OH 44714-1714

Phone

(330) 575-7424

NPI assigned

Aug 23, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1912626946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 27TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141714",
            "telephone_number": "330-575-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 27TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141714",
            "telephone_number": "330-575-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLAM",
        "first_name": "PHILLIP",
        "middle_name": "EUGENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "7611238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Wolfe
• Rebecca L. Wolfe, PA-C
• Samantha Elizabeth Wolfe, BA- CRIMINAL JUSTICE
• Kristy Mae Wolfel, D.O.
• Kelly Wolke, LPN
• Christina Woloch, LPCC
• Wonderful Moving Miracle LLC
• Ashley Wood
• Douglas Allen Wood, DO
• Erika M Wood, MA, LPC

• Non-emergency Medical Transport (VAN) in Canton, OH
• Providers in Canton, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.