Active NPI
Scott E Wolff, MD
- Emergency Medicine Physician
- Duluth, MN
National Provider Identifier
1386694347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 29438
- Practice address
- 1012 E 2ND St
Duluth, MN 55805-2200 - Phone
- (218) 249-5555
- NPI assigned
- May 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 29438 | MN | Primary |
Addresses
Primary practice location
1012 E 2ND St
Duluth, MN 55805-2200
Mailing address
915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5616
Other practice location 1
915 E 1st St
Duluth, MN 55805-2107
Phone (218) 249-5616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 647010600 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29438 | MN | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1386694347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 E 1ST ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052107",
"telephone_number": "218-249-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 E 2ND ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052200",
"telephone_number": "218-249-5555"
}
],
"practiceLocations": [
{
"address_1": "915 E 1st St",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558052107",
"country_code": "US",
"telephone_number": "218-249-5616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFF",
"first_name": "SCOTT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "29438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "647010600",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@slk.direct.slhduluth.com",
"affiliation": "N",
"address_1": "1012 E 2nd St",
"city": "Duluth",
"state": "MN",
"country_code": "US",
"postal_code": "558052200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.