MR. JEROME PAUL WOLLFARTH (NPI# 1558432583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558432583 |
| Entity Type | Individual |
| Full Name | MR. JEROME PAUL WOLLFARTH |
| Credential | P.T. |
| Practice Address |
340 Falconer Dr Covington LA 70433 |
| Mailing Address |
22056 Spring Clover Ln Covington LA 70435-6738 |
| Practice Telephone | 9858932845 |
| Practice Fax Number | 9858932654 |
| Mailing Telephone | 9858932845 |
| Mailing Fax Number | 9858932654 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 06427 | LA | Other Service Providers |
| Street Address |
340 FALCONER DR |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578518064 | Matthew Edward Slimming | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2006-05-23 |
| 1346860251 | Heather Rietschel | Speech-Language Pathologist | 340 Falconer Dr, Covington, LA 70433-8204 | 2020-04-21 |
| 1053824615 | Brittany Dale | Physical Medicine & Rehabilitation | 340 Falconer Dr, Covington, LA 70433-8204 | 2017-11-06 |
| 1467900654 | Star Physical Therapy Noe | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2016-09-15 |
| 1750723508 | Heather Jones Seal | Speech-Language Pathologist | 340 Falconer Dr, Covington, LA 70433-8204 | 2013-07-22 |
| 1316384738 | Kimberly S Collins | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2013-05-24 |
| 1205187952 | Chancie Morace | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2012-09-20 |
| 1457642258 | Angelle L Ream | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2011-04-27 |
| 1619296704 | Miles John Becnel Jr. | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2010-05-28 |
| 1942455662 | Rachel Emmons Henderson | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2008-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907992 | Diana Rowe | Specialist | 35 Homeplace Dr, Covington, GA 30016-8539 | 2020-09-23 |
| 1427411719 | Annette Marie Comer | Specialist | 203 Green Violet Dr, Covington, VA 24426-6327 | 2016-04-04 |
| 1447654686 | David E Williams | Specialist | 767 Highway 142, Covington, GA 30014-4860 | 2014-10-17 |
| 1720328313 | Paradigm Health System | Specialist | 90 Louis Prima Dr, Suite B, Covington, LA 70433-5903 | 2013-02-19 |
| 1639415243 | Elaine Y Lewis | Specialist | 205 Queensland Ln, Covington, GA 30016-3100 | 2012-12-31 |
| 1710286794 | Pontchartrain Cancer Center | Specialist | 120 Lakeview Cir, Covington, LA 70433-7512 | 2011-03-16 |
| 1598088247 | Oxana P Lissina | Specialist | 16127 Se 256th Pl, Covington, WA 98042-4135 | 2010-03-09 |
| 1477880714 | Srinivas S Ganji M.d. A Prof Medical Corp | Specialist | 209 Highway Park Plaza, Covington, LA 70433 | 2009-11-06 |
| 1447494109 | Monica Lanee Anderson | Specialist | 280 Capeton Ct, Covington, GA 30016 | 2009-04-25 |
| 1750521274 | Anita Holtzapple | Specialist | 180 Red Cloud Ct, Covington, KY 41017-9423 | 2009-02-23 |
| Find all providers in COVINGTON | ||||
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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.