Mark Wolf, MD, PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

4301052955 Issued in MI

Legal business name

MARK WOLF, MD, PC

Practice address

2055 Bloomfield Woods CT
West Bloomfield, MI 48323-1915

Phone

(248) 335-0537

NPI assigned

Aug 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Wolf, M.D.NPI 1023043973

Title

Owner/Operated

Phone

(248) 830-6697

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark D Wolf, M.D.

  • Infectious Disease Physician
  • West Bloomfield, MI
  • NPI 1023043973
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1285948364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 BLOOMFIELD WOODS CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231915",
            "telephone_number": "248-335-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 BLOOMFIELD WOODS CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231915",
            "telephone_number": "248-335-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK WOLF, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OPERATED",
        "authorized_official_telephone_number": "248-830-6697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301052955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4408234271",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3521084",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynne Marcus, APRN, BC
• Natalie Gabrielle Marcus, FNP-BC
• Erica Maresh, OTRL
• Marlene J Margolis, RPH.
• Kenya Renee Marion, LCSW
• Ann Amarachi Mark, PHARM.D.
• Melanie Anne Mark
• Connie M Markel, NP
• Charles J Markle, DPM
• Andrew S Markowitz, MD

• Infectious Disease Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.