CARL W. WULFESTIEG (NPI# 1790748358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790748358 |
| Entity Type | Individual |
| Full Name | CARL W. WULFESTIEG |
| Credential | M.D. |
| Practice Address |
22 Prospect St Woodstock VT 05091-1286 |
| Practice Telephone | 8024577116 |
| Mailing Telephone | 8024577116 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2011-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD00017402 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MC # | P00233197 | 01 |
| WA | BLUE SHIELD # | 5208WU | 01 |
| WA | 1526706 | 05 | |
| WA | AETNA SPECIALIST PIN | US4080197 | 01 |
| Street Address |
22 PROSPECT ST |
| City | WOODSTOCK |
| State | VT |
| Zip Code | 05091-1286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023397932 | Frank P. Barth | Social Worker | 5 The Green, Suite #9, Woodstock, VT 05091 | 2011-08-09 |
| 1114182664 | Rebecca B Nash | Physical Therapist | 512 Woodstock Rd, Woodstock, VT 05091 | 2008-07-24 |
| 1497923890 | Vicki Hamel | Physical Therapist | 9807 Barberry Circle, Woodstock, VT 05091 | 2008-02-19 |
| 1336342179 | Valerie Trina | Physical Therapist | 10606 Rte 106 S, Woodstock, VT 05091 | 2007-06-08 |
| 1205046604 | Suzanne Marie Geno | Counselor | Sunset Farms Office Bldg, 3rd Floor Suite 9, Woodstock, VT 05091 | 2007-05-23 |
| 1699899096 | Hugh P Hermann | Family Medicine | Hugh P. Hermann, 4 The Green, Woodstock, VT 05091 | 2007-03-19 |
| 1134268220 | Neil Marinello | Psychologist | 217 Maxham Meadow Way, Ste 1038, Woodstock, VT 05091 | 2007-02-05 |
| 1023164597 | Margaret E Stone | Dentist | 2170 Maxham Meadow Way 4a, Woodstock, VT 05091 | 2007-01-26 |
| 1619904588 | Mark Sherwood Libby | Physical Therapist | 10606 Rt 106 South, Woodstock, VT 05091 | 2006-06-27 |
| 1821034083 | Jane Lillian Olds | Physical Therapist | 10606 Rt. 106 South, Woodstock, VT 05091 | 2006-06-22 |
| Find all providers in zip 05091 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407944325 | Roman J. Dykun, Md | Otolaryngology | 2441 Lake Shore Dr, Woodstock, IL 60098-6911 | 2006-10-10 |
| 1982701587 | Roman J Dykun | Otolaryngology | 2441 Lake Shore Drive, Woodstock, IL 60098 | 2006-09-19 |
| 1851395560 | Michael Frances Pratt | Otolaryngology | 281 Heritage Walk, Woodstock, GA 30188 | 2005-06-09 |
| 1326233081 | Mobeen A Shirazi | Otolaryngology | 2441 Lake Shore Dr, Woodstock, IL 60098-6911 | 2007-09-06 |
| 1811016371 | Michael F Pratt, Md, PC | Otolaryngology | 281 Heritage Walk, Woodstock, GA 30188 | 2007-03-28 |
| 1700974607 | Sihun Alex Kim | Otolaryngology | 2441 Lake Shore Dr, Woodstock, IL 60098-6911 | 2006-10-10 |
| 1518065341 | Christopher B Standage | Otolaryngology | 2441 Lake Shore Drive, Woodstock, IL 60098-6911 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174935381 | Erin Tracy Ostby | Otolaryngology | 111 Colchester Ave Fl 4, Burlington, VT 05401-1473 | 2014-05-21 |
| 1154552651 | Patrick Hervey Stine | Otolaryngology | 2195 S Bingham St, Whiting, VT 05778-9508 | 2009-07-31 |
| 1770662462 | Paul M Julien | Otolaryngology | 637 Union Street, Newport, VT 05855 | 2006-11-03 |
| 1265532444 | Robert Joseph Jauch | Otolaryngology | 714 Breezy Hill Road, Suite A, St Johnsbury, VT 05819 | 2006-09-25 |
| 1750301651 | Louise Davies | Otolaryngology | Va Outcomes Group - 111b, 215 North Main Street, White River Junction, VT 05009 | 2006-07-20 |
| 1124048459 | Porter Hospital Inc | Otolaryngology | 1330 Exchange Street Suite 202, Porter Ent, Middlebury, VT 05753 | 2006-07-20 |
| 1942259379 | Donald A Leopold | Otolaryngology | 111 Colchoster Ave - Ent Wp4, Burlington, VT 05401 | 2006-05-10 |
| 1316910714 | Springfield Hospital | Otolaryngology | 364 River St, Springfield, VT 05156 | 2006-02-08 |
| 1740287283 | Richard C Lyons | Otolaryngology | 389 E Allen St, Winooski, VT 05404-1560 | 2005-06-30 |
| 1821581174 | Northwestern Medical Center, Inc. | Otolaryngology | 10 Crest Rd, Saint Albans, VT 05478-9701 | 2018-06-12 |
| Find all providers with the same taxonomy | ||||
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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.