Norman Tracy Wolf, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28650 Issued in MN

Practice address

1955 County Road B2 W
Roseville, MN 55113-2723

Phone

(651) 635-0054

Fax

(651) 635-0949

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

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.

• Now Medical, Inc

  • Urgent Care Clinic/Center
  • Maple Grove, MN
  • NPI 1306993142
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1174597090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 COUNTY ROAD B2 W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132723",
            "telephone_number": "651-635-0054",
            "fax_number": "651-635-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 COUNTY ROAD B2 W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132723",
            "telephone_number": "651-635-0054",
            "fax_number": "651-635-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "NORMAN",
        "middle_name": "TRACY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "28650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514572400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith H Wittenberg, MD
• Michael H Wittmer, M.D.
• Donna J. Woelfel, D.C.
• Peter B Wold, MD
• Kristine Marie Wolf, RN
• Lindsey Wolter, PHARMD
• Ann L Wolverton, MA CCC SLP
• Kathleen Wai Gern Woo-Rippe, M.D.
• Jonathan Wood, M.D.
• Catherine Elaine Woodley, DDS

• Family Medicine Physician in Roseville, MN
• Providers in Roseville, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.