Clay Wesley Wolph, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2342 Issued in OH

Practice address

123 S Main St
Fostoria, OH 44830

Phone

(419) 436-0616

Fax

(419) 435-1622

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wolph Chiropractic IncGroup PAC ID 3678581600, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wolph Chiropractic Inc

  • Chiropractor
  • Bowling Green, OH
  • NPI 1326220120
  Medicare reassignment Care Compare group NPD Authorized official
• Wolph Chiropractic, Inc.

  • Chiropractor
  • Fostoria, OH
  • NPI 1841489044
  NPD Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1962425066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S MAIN ST",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "44830",
            "telephone_number": "419-436-0616",
            "fax_number": "419-435-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S MAIN ST",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "44830",
            "telephone_number": "419-436-0616",
            "fax_number": "419-435-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLPH",
        "first_name": "CLAY",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230539",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Yvonne Weininger, APRN, FNP-BC
• William Welsch
• Andre Williams
• Lorrie Ann Wolfelt
• Wolph Chiropractic, Inc.
• Lora Wolph, DC
• Annamarie Wonderly
• Crystal Ann Wonderly
• Veronica L Wonderly, LPTA
• Cassie Young

• Chiropractor in Fostoria, OH
• Providers in Fostoria, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.