Active NPI
Mary Margaret Wolf, MD
- Family Medicine Physician
- Benton Harbor, MI
National Provider Identifier
1386791622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301095936
- Practice address
- 800 M-139
Benton Harbor, MI 49022-4843 - Phone
- (269) 927-5400
- Fax
- (269) 927-5493
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301095936 | MI | Primary |
Addresses
Primary practice location
800 M-139
Benton Harbor, MI 49022-4843
Mailing address
50 Industrial Park Drive
Bangor, MI 49013-1246
Phone (269) 427-7937
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheatland Memorial Healthcare | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Harlowton, MT
- NPI 1235204538
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1386791622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 INDUSTRIAL PARK DRIVE",
"city": "BANGOR",
"state": "MI",
"postal_code": "490131246",
"telephone_number": "269-427-7937",
"fax_number": "269-427-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 M-139",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490224843",
"telephone_number": "269-927-5400",
"fax_number": "269-927-5493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "MARY",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301095936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.