GEORGE PATRICK WOLFE JR NPI 1730148602

NPI Information

NPI: 1730148602
Provider Name: GEORGE PATRICK WOLFE JR
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
754 S CLEVELAND AVE STE 300
MOGADORE, OH
ZIP 44260
Phone: (330) 877-3008
Get Directions

George Patrick Wolfe Jr is an adult health nurse practitioner in Mogadore, OH. George Patrick Wolfe Jr NPI is 1730148602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

754 S CLEVELAND AVE STE 300
MOGADORE, OH
ZIP 44260-210
Phone: (330) 877-3008
Fax: (330) 877-3032

The NPI 1730148602 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 9/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	NP07411	OHIO	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	NP07411	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2442351	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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