Active NPI
Gary Wolfgang
- Psychologist
- Zanesville, OH
National Provider Identifier
1942362090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 573 Brookover Ave
Zanesville, OH 43701-2101 - Phone
- (740) 454-0366
- Fax
- (740) 454-3790
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
573 Brookover Ave
Zanesville, OH 43701-2101
Mailing address
573 Brookover Ave
Zanesville, OH 43701-2101
Phone (740) 454-0366
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y281337 | Other | OH | HEALTHPLAN |
| 000000249349 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1405 Maple Ave
Zanesville, OH 43701-2583
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942362090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "573 BROOKOVER AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012101",
"telephone_number": "740-454-0366",
"fax_number": "740-454-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "573 BROOKOVER AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012101",
"telephone_number": "740-454-0366",
"fax_number": "740-454-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFGANG",
"first_name": "GARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLAN",
"identifier": "Y281337",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000249349",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.