Active NPI
Michael J. Wolfe, M.D.
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- MD00046392
- Practice address
- 515 Minor Ave Ste 140
Seattle, WA 98104-2138 - Phone
- (425) 775-6651
- Fax
- (425) 670-6718
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD00046392 | WA | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | MD00046392 | WA | Primary |
Addresses
Primary practice location
515 Minor Ave Ste 140
Seattle, WA 98104-2138
Mailing address
21911 76TH Ave W Ste 211
Edmonds, WA 98026-7918
Phone (425) 775-6651
Other practice location 1
21911 76th Ave W Ste 211
Edmonds, WA 98026-7918
Phone (425) 775-6651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008229 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Washington School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
515 Minor Ave
Suite 140
Seattle, WA 98104-2138
Phone (425) 775-6651
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00046392 | WA | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons, Inc., P.S. | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Otolaryngology | Past | Accepting new patients |
| University Ear, Nose and Throat Specialists, Inc. | Otolaryngology | Past | Accepting new patients |
Locations
37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
21911 76th Ave W
Ste 211
Edmonds, WA 98026
Phone (253) 770-9000
510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030
220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400
601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101
515 Minor Ave
Ste 140
Seattle, WA 98104
Phone (206) 682-6103
Interoperability endpoints
- mwolfe1043654@wm.providencedirect.org
- michael.wolfemd.p46@direct.proliance.nextgenshare.com
Organizations & group practices 10
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.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1013061217
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1720023641
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Obstetrics & Gynecology Physician
- Seattle, WA
- NPI 1326584673
-
- Clinic/Center
- Excursion Inlet, AK
- NPI 1063958452
-
- Clinic/Center
- Juneau, AK
- NPI 1427941343
-
- Otolaryngology Physician
- Burien, WA
- NPI 1114108784
-
- Otolaryngology Physician
- Cincinnati, OH
- NPI 1326081399
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1346289865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21911 76TH AVE W STE 211",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267918",
"telephone_number": "425-775-6651",
"fax_number": "425-670-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MINOR AVE STE 140",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042138",
"telephone_number": "425-775-6651",
"fax_number": "425-670-6718"
}
],
"practiceLocations": [
{
"address_1": "21911 76th Ave W Ste 211",
"address_purpose": "LOCATION",
"city": "Edmonds",
"state": "WA",
"postal_code": "980267918",
"country_code": "US",
"telephone_number": "425-775-6651",
"fax_number": "425-670-6718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFE",
"first_name": "MICHAEL",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "MD00046392",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "WA",
"license": "MD00046392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008229",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.