DR. MATTHEW D WOLF (NPI# 1043292022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043292022 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW D WOLF |
| Credential | MD |
| Practice Address |
610 E Southport Rd Suite 205 Indianapolis IN 46227-8590 |
| Practice Telephone | 3177817370 |
| Practice Fax Number | 3177828880 |
| Mailing Telephone | 3177817370 |
| Mailing Fax Number | 3177828880 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2016-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01050942A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200198890A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316245400 | Matthew C Wolf | Counselor | 6070 Six Forks Rd Ste C, Raleigh, NC 27609-8602 | 2011-03-14 |
| 1225672793 | Matthew Sean Wolf | Physician Assistant | 201 State St, Erie, PA 16550-0002 | 2019-10-29 |
| 1922668987 | Matthew James Wolf | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-20 |
| 1770010670 | Matthew Wolf | Emergency Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2017-05-23 |
| 1982147369 | Matthew Gregory Wolf | Behavior Technician | 11650 Iberia Pl Ste 130, San Diego, CA 92128-2431 | 2016-12-02 |
| 1902246820 | Matthew John Wolf | Family Medicine | 105 S Heaton St, Morrison, IL 61270 | 2013-06-25 |
| 1942556550 | Matthew Lee Wolf | Pharmacist | 600 Highland Ave, Mc 2433, Madison, WI 53792-0001 | 2012-08-01 |
| 1841561008 | Matthew Logan Wolf | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2012-01-19 |
| 1700088986 | Matthew J. Wolf | Internal Medicine | 500 Ray C. Hunt Dr, Charlottesville, VA 22903 | 2007-06-01 |
| 1851495162 | Matthew J Wolf | Emergency Medicine | 5955 Zeamer Avenue, 3rd Md6, Elmendorf Afb, AK 99506 | 2006-09-08 |
| Street Address |
610 E SOUTHPORT RD SUITE 205 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-8590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336131168 | Brock P Nolan | Psychiatry & Neurology | 610 E Southport Rd, Suite 200, Indianapolis, IN 46227-8590 | 2005-08-18 |
| 1447638903 | Franciscan Physician Network | Counselor | 610 E Southport Rd, Suite 100, Indianapolis, IN 46227-8590 | 2015-05-15 |
| 1811302953 | Amina Clinker | Nurse Practitioner | 610 E Southport Rd, Suite 200, Indianapolis, IN 46227-8590 | 2014-06-27 |
| 1609205368 | Laura Kegerreis | Specialist/Technologist | 610 E Southport Rd, Indianapolis, IN 46227-8590 | 2013-11-04 |
| 1710235361 | Dawn Marie Copas | Nurse Practitioner | 610 E Southport Rd, Suite 200, Indianapolis, IN 46227-8590 | 2012-08-29 |
| 1235430810 | Pamela Phillips | Psychologist | 610 E Southport Rd, Suite 100, Indianapolis, IN 46227-8590 | 2010-11-12 |
| 1659672954 | Allen R Parsley | Counselor | 610 E Southport Rd, Suite 100, Indianapolis, IN 46227-8590 | 2010-11-03 |
| 1952601825 | St Francis Behavioral Health | Psychiatric Hospital | 610 E Southport Rd, Suite 100, Indianapolis, IN 46227-8590 | 2010-10-26 |
| 1871726034 | Angie N. Brown | Registered Nurse | 610 E Southport Rd, Suite 205, Indianapolis, IN 46227-8590 | 2009-09-03 |
| 1306081807 | Deann Harvey | Psychologist | 610 E Southport Rd, Suite 100, Indianapolis, IN 46227-8590 | 2008-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1134765993 | Basil Vareldzis | Family Medicine | 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 | 2019-11-26 |
| 1366084329 | Rebekah Venable | Family Medicine | 5455 W 86th St Ste 210, Indianapolis, IN 46268-1530 | 2019-10-11 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1386150043 | Brengle Family Medicine | Family Medicine | 8803 N Meridian St Ste 350, Indianapolis, IN 46260-5386 | 2017-12-18 |
| 1164937249 | Amy Cheung | Family Medicine | 6484 N Chester Ave, Indianapolis, IN 46220-4422 | 2017-12-11 |
| 1578017182 | Medical Specialty LLC | Family Medicine | 2301 N Meridian St, Indianapolis, IN 46208-5729 | 2016-08-11 |
| 1245685742 | Christopher Basom | Family Medicine | 8501 E 56th St Ste 120, Indianapolis, IN 46216-2118 | 2016-05-03 |
| 1760846877 | Catherine Gambale Trigonis | Family Medicine | 404 E Washington St Ste A, Indianapolis, IN 46204 | 2016-04-06 |
| 1205204203 | Community Health Network | Family Medicine | 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 | 2015-09-08 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.