Active NPI
Rebecca L. Wolfe, PA-C
- Medical Physician Assistant
- Canton, OH
National Provider Identifier
1922288778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50-002505
- Practice address
- 4466 Fulton Dr NW
Canton, OH 44718-2864 - Phone
- (330) 489-1386
- Fax
- (330) 489-1258
- NPI assigned
- Nov 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50-002505 | OH | Primary |
Addresses
Primary practice location
4466 Fulton Dr NW
Canton, OH 44718-2864
Mailing address
168 E Market St
PO Box 3542
Akron, OH 44308-2038
Phone (330) 996-0347
Other names 1
- Rebecca L. Hajec
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-002505 | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Emergency Services, Inc. | Past | Accepting new patients | |
| Cardiology One, Inc | Past | Accepting new patients | |
| Health Alliance Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Canton, OH
- NPI 1114026226
-
- Urgent Care Clinic/Center
- Louisville, OH
- NPI 1104846419
-
- Emergency Medicine Physician
- Ravenna, OH
- NPI 1235162942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1922288778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 E MARKET ST",
"address_2": "PO BOX 3542",
"city": "AKRON",
"state": "OH",
"postal_code": "443082038",
"telephone_number": "330-996-0347",
"fax_number": "330-996-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4466 FULTON DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182864",
"telephone_number": "330-489-1386",
"fax_number": "330-489-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "REBECCA",
"middle_name": "L.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-09",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50-002505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "HAJEC",
"middle_name": "L.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.