Individual provider Active NPI

Murray Alan Woolf, MD

  • Otolaryngology Physician
  • Fairfield, CA
National Provider Identifier
1073531356
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
OOG401590 Issued in CA
Practice address
1710 Pennsylvania Ave
Suite D
Fairfield, CA 94533-3589
Phone
(707) 423-2000
Fax
(707) 423-2001
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X OOG401590 CA Primary

Addresses

Primary practice location

1710 Pennsylvania Ave
Suite D
Fairfield, CA 94533-3589

Mailing address

1710 Pennsylvania Ave
Suite D
Fairfield, CA 94533-3589
Phone (707) 423-2000

Other identifiers 1

IdentifierTypeStateIssuer
680183940OtherCATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210001133 CA Practitioner - Otolaryngology 1355235300 Reassigns benefits to 1 organization
Practice locations: Fairfield, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OOG401590CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Healthcare Group CurrentSince Sep 3, 2019 Accepting new patients
Northbay Healthcare Group CurrentSince Sep 3, 2019 Accepting new patients

Locations

1710 Pennsylvania Ave
Ste D
Fairfield, CA 94533
Phone (707) 423-2000

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Interoperability endpoints

  • Direct secure messaging: mwoolf240809@hisp.ehr.sutterhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1073531356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 PENNSYLVANIA AVE",
            "address_2": "SUITE D",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333589",
            "telephone_number": "707-423-2000",
            "fax_number": "707-423-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 PENNSYLVANIA AVE",
            "address_2": "SUITE D",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333589",
            "telephone_number": "707-423-2000",
            "fax_number": "707-423-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLF",
        "first_name": "MURRAY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "OOG401590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "680183940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.