Provider Demographics
NPI:1912078577
Name:VOLKE, KARLA NO MIDDLE INITIAL (DO)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:NO MIDDLE INITIAL
Last Name:VOLKE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:NO MIDDLE INITIAL
Other - Last Name:VOLKE-WOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:832 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ORRVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44667-2208
Mailing Address - Country:US
Mailing Address - Phone:330-684-4760
Mailing Address - Fax:330-683-2130
Practice Address - Street 1:832 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ORRVILLE
Practice Address - State:OH
Practice Address - Zip Code:44667-2208
Practice Address - Country:US
Practice Address - Phone:330-684-4760
Practice Address - Fax:330-683-2130
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-0078392085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00232320OtherMEDICARE RAILROAD
OH2362312Medicaid
OHF22770Medicare UPIN
OHV07332221Medicare ID - Type Unspecified