Provider Demographics
NPI:1376506592
Name:WOLFE, JAMES W (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:WOLFE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:428 S MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-3629
Mailing Address - Country:US
Mailing Address - Phone:540-949-8241
Mailing Address - Fax:540-949-5582
Practice Address - Street 1:1371 LEE HWY
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:VA
Practice Address - Zip Code:24482
Practice Address - Country:US
Practice Address - Phone:540-248-3413
Practice Address - Fax:540-248-8413
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101026644207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1486618OtherCIGNA
TN4401019Medicaid
621584391OtherTRICARE
274021OtherBLACK LUNG
3045884OtherBLUE CROSS OF TENNESSEE
VA005609887Medicaid
VA037070OtherANTHEM BLUE CROSS
4578524OtherAETNA
VA037074OtherANTHEM BLUE CROSS
TN4046650Medicaid
TN3173538Medicaid
62158439107OtherUNITED HEALTHCARE
TN3706150Medicare PIN
62158439107OtherUNITED HEALTHCARE
4578524OtherAETNA
B03607Medicare UPIN
TN4046650Medicaid
TN3173533Medicare PIN
274021OtherBLACK LUNG
1486618OtherCIGNA
VAMC11882Medicare PIN