NPIMap

Individual provider Active NPI

Erich W Wolf Jr., M.D, PH.D

  • Neurological Surgery Physician
  • Lake Charles, LA
National Provider Identifier
1942206727
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
021935 Issued in LA
Practice address
1614 Wolf Cir
Lake Charles, LA 70605-2348
Phone
(337) 478-9653
Fax
(337) 474-0988
NPI assigned
Jun 24, 2005
Last updated
Jul 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 021935 LA Primary

Addresses

Primary practice location

1614 Wolf Cir
Lake Charles, LA 70605-2348

Mailing address

PO Box 1786
Lake Charles, LA 70602-1786
Phone (337) 478-9653

Other identifiers 2

IdentifierTypeStateIssuer
1567949MedicaidLA
5CA84OtherLAGROUP MEDICARE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000338 LA Practitioner - Neurosurgery 2163453432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Tennessee, HSC, College of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
LCMS Neurosurgical Institute of Lake Charles LLCGroup PAC ID 8224189758, 10 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians

Practice addresses (Care Compare)

1614 Wolf Cir
Lake Charles, LA 70605-2348
Phone (337) 478-9653

301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion174
Laminectomy or laminotomy (partial removal of spine bones)89
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021935LAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Neurosurgical and Spine Disorders, LLC Neurological Surgery CurrentSince Feb 14, 2002 Accepting new patients
LCMS Neurosurgical Institute of Lake Charles LLC Neurological Surgery CurrentSince Mar 1, 2025 Accepting new patients
Lake Charles Medical Services Neurological Surgery Past Accepting new patients

Locations

1614 Wolf Cir
Lake Charles, LA 70605
Phone (337) 478-9653

1717 Oak Park Blvd
Fl 3
Lake Charles, LA 70601
Phone (337) 494-4900

2770 3rd Ave
Ste 100
Lake Charles, LA 70601
Phone (337) 494-4720

721 Bayou Pines East Dr
Lake Charles, LA 70601
Phone (337) 310-3670

Interoperability endpoints

  • Direct secure messaging: ewolf5284699@direct.casso.us.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1942206727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1786",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706021786",
            "telephone_number": "337-478-9653",
            "fax_number": "337-474-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 WOLF CIR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052348",
            "telephone_number": "337-478-9653",
            "fax_number": "337-474-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "ERICH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D, PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "021935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1567949",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE #",
            "identifier": "5CA84",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.