Individual provider Active NPI

Stephen Alan Wohlgemuth, M.D.

  • Internal Medicine Physician
  • Ashburn, VA
National Provider Identifier
1972653277
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101032752 Issued in VA
Practice address
19510 Smith Cir
Ashburn, VA 20147-2500
Phone
(571) 271-4537
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15310 WV
Internal Medicine Physician 207R00000X 0101032752 VA Primary

Addresses

Primary practice location

19510 Smith Cir
Ashburn, VA 20147-2500

Mailing address

19510 Smith Cir
Ashburn, VA 20147-2500
Phone (571) 271-4537

Other names 1

  • Dr. Stephen A Wohlgemuth Other name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101032752VAMDInternal Medicine Physician
15310WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New River Health Association, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1972653277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19510 SMITH CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201472500",
            "telephone_number": "571-271-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19510 SMITH CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201472500",
            "telephone_number": "571-271-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLGEMUTH",
        "first_name": "STEPHEN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "15310",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101032752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "WOHLGEMUTH",
            "middle_name": "A",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.