Active NPI
Charles J Wolcott II, M.D.
- Family Medicine Physician
- Franconia, NH
National Provider Identifier
1982678298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5426
- Practice address
- 155 Main St
Franconia, NH 03580-4802 - Phone
- (603) 823-7078
- Fax
- (603) 444-3441
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5426 | NH | Primary |
Addresses
Primary practice location
155 Main St
Franconia, NH 03580-4802
Mailing address
PO Box 276
Franconia, NH 03580-0276
Phone (603) 823-8517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30203393 | Medicaid | NH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1982678298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276",
"city": "FRANCONIA",
"state": "NH",
"postal_code": "035800276",
"telephone_number": "603-823-8517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MAIN ST",
"city": "FRANCONIA",
"state": "NH",
"postal_code": "035804802",
"telephone_number": "603-823-7078",
"fax_number": "603-444-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLCOTT",
"first_name": "CHARLES",
"middle_name": "J",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "5426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30203393",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.