Healthcare Provider Details

I. General information

NPI: 1831113265
Provider Name (Legal Business Name): WILLIAM SCOTT WOLFE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SCOTT WOLFE M.D.

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 N FRANKLIN ST STE B
COCHRANTON PA
16314-9706
US

IV. Provider business mailing address

1034 GROVE ST
MEADVILLE PA
16335-2945
US

V. Phone/Fax

Practice location:
  • Phone: 814-425-1126
  • Fax: 814-425-9973
Mailing address:
  • Phone: 814-335-5754
  • Fax: 814-333-5740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD417360
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: