Active NPI
David Scott Wolf, M.D., PH.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Baltimore, MD
National Provider Identifier
1255534228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- D0071070
- Practice address
- 200 N Wolfe St
Ste 2158
Baltimore, MD 21287-0006 - Phone
- (410) 955-4259
- Fax
- (410) 614-2297
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 001353 | GA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | D0071070 | MD | Primary |
Addresses
Primary practice location
200 N Wolfe St
Ste 2158
Baltimore, MD 21287-0006
Mailing address
200 N Wolfe St
Ste 2158
Baltimore, MD 21287-0006
Phone (410) 955-4259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036098800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001353 | GA | MD | Neurology with Special Qualifications in Child Neurology Physician |
| D0071070 | MD | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Choa Hospital Based, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008
Interoperability endpoints
- dwolf10031@choa.gadirect.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Pediatrics Physician
- Atlanta, GA
- NPI 1730345240
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1255534228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N WOLFE ST",
"address_2": "STE 2158",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870006",
"telephone_number": "410-955-4259",
"fax_number": "410-614-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N WOLFE ST",
"address_2": "STE 2158",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870006",
"telephone_number": "410-955-4259",
"fax_number": "410-614-2297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "DAVID",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "GA",
"license": "001353",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "MD",
"license": "D0071070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036098800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.