Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Alex Wolfram

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871121756

John Alex Wolfram is an Anesthesiology in Louisville, Kentucky. Qualified in 2020, 6 years ago. Practices with Southwest Ohio Anesthesia Consultants LLC, a 366-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

530 S Jackson St Rm C2A03
Louisville, KY 40202-1675
Phone: (502) 852-1732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 34.017254 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871121756
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southwest Ohio Anesthesia Consultants Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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