Mervin Gary Wolff, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MW046725 Issued in MI

Practice address

3011 W Grand Blvd Ste 210
Detroit, MI 48202-3068

Phone

(313) 871-7572

Fax

(313) 871-7573

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Wolffallergyasthma PLLC

  • Allergy & Immunology (Internal Medicine) Physician
  • Detroit, MI
  • NPI 1689333080
  NPD (past)
• Wolffinternalmedicine PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1306592100
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154411213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD STE 210",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023068",
            "telephone_number": "313-871-7572",
            "fax_number": "313-871-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD STE 210",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023068",
            "telephone_number": "313-871-7572",
            "fax_number": "313-871-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "MERVIN",
        "middle_name": "GARY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "MW046725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO.",
            "identifier": "1108211832",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa A Wolf, CRNA
• Dawn Wolfe
• Derek Wolfe
• Sheila Anita Wolfe
• Garen Wolff
• Wolffallergyasthma PLLC
• Wolffinternalmedicine PLLC
• Maria Melody-Padiernos Wolfinbarger, NURSE PRACTITIONER
• Alisha M Wolfsen, LLMSW
• Wayne P. Wolfson, M.D.

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.