Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073629739 Individual Practitioner Male Practitioner

Dr. Walter Ray Wolfe , MD

Specialist • Canton, MS

Professional Overview & Biography Verified Profile Summary

Dr. Walter Wolfe, MD is a registered healthcare professional specializing in Specialist in Canton, MS. Practice services are available at 163 RIVER OAKS DR STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

163 River Oaks Dr Ste 204

Canton, MS 39046

Telephone 6018554881
Fax 6018595454

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Canton, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Canton, MS (253 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MS 11096

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00010644 (MS)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 18, 2018

Registered at 163 RIVER OAKS DR STE 204, CANTON, MS 39046 (Tel: 6018554881)

📍
Updated Business Mailing Address July 18, 2018

Registered at 163 RIVER OAKS DR STE 204, CANTON, MS 390465324 (Tel: 6018554881)

👤
Provider Name / Credentials Updated July 18, 2018

Recorded as WALTER WOLFE, MD

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5903 RIDGEWOOD RD, SUITE 210, JACKSON, MS 392113700 (Tel: 6018993220)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5903 RIDGEWOOD RD, SUITE 210, JACKSON, MS 392113700 (Tel: 6018993220)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WALTER WOLFE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #11096 in MS)

🟢
Initial NPI Registration & Enumeration August 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073629739
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: July 18, 2018
Sole Proprietor: Yes

Mailing Address

163 River Oaks Dr Ste 204

Canton, MS 390465324

Phone: 6018554881

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.